Medical Records Specialist
Bicycle Health
The Opioid Epidemic is a public health crisis with a highly effective but underutilized clinical intervention - millions of Americans are physically dependent on Opioids but only 10% of those likely to have OUD actually access treatment. Bicycle Health addresses this gap by maximizing accessibility, affordability, and overall quality of care by enabling highly qualified clinicians to reach patients broadly and efficiently through our online platform.
JOB OVERVIEW:
The Medical Records Specialist is responsible for the management and fulfillment of all incoming medical records requests incurred by the organization. These can include, but are not limited to, insurance company audits, billing investigations, subpoenas, HEDIS measurement requests, medical examiner requests, etc.
Location: Remote
Schedule: Full time (40 hrs)
Target Pay Range: $20.67-$30.21/hr- Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
RESPONSIBILITIES:
- Own the management and fulfillment of medical records requests from a variety of sources
- Assess all medical records requests to determine the cause or reason for the request and which organizational stakeholders need to be involved
- Ensures Medical Record request aligns will claims bill and identifies any discrepancies
- Track incoming requests for records and sort by priority and urgency of the request
- Fulfill all necessary medical records requests accurately and in a timely manner, meeting all request deadlines
- Work closely with the Billing/RCM team, Payer Strategy team, operations, legal, and executive team to accurately fulfill requests and continuously improve our record keeping and compliance
- Collate and provide feedback to relevant teams in order to set the standard for high quality record keeping based on audits and other investigations
- Regular and predictable attendance is required.
- Other duties as assigned.
QUALIFICATIONS:
- Strong ability to decipher types of record requests to determine the cause for the request, level of importance/urgency, and what documentation is sufficient enough to fulfill the request
- Highly detailed and meticulously organized
- Able to identify and communicate risk and compliance challenges
- Executive presence, professionalism and poise while working with company leaders, legal counsel, and payer partners
- Collaborative style and tolerance for a cross-functional role that will at times have conflicting priorities
- 3-5 years of Medical Records experience
- 3-5 years of Medical Billing Experience (E/M codes, G Codes, and time attestation)
- Understanding of clinical and billing regulatory compliance standards
- Experience using Athena or similar EMRs
- 3-5 years of of payer audits/investigation experience
- Prior experience of communicating with payer auditors via verbal and written
- Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.
PHYSICAL REQUIREMENTS:
- Constantly operate a computer and other related peripherals such as a keyboard, mouse, headset etc.
- Must be able to remain in a stationary position a majority of the time working.
- Frequent communication via remote meeting software; softphones or cell phones.
- Predominantly working in the employees home, indoor, office setup.
About Bicycle Health:
Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We’ve grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient and confidential Opioid Use Disorder treatment for all.
Bicycle Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other basis forbidden under federal, state, or local law.