Documentation Processing Specialist, Nucleus Building, 7:00a-3:30p

Document Processing Specialist

The Document Processing Specialist is accountable for retrieving, attaching, and submitting medical records to appropriate payors. The individual ensures medical record attachments are processed timely and in accordance with payor rules and department policy. The individual will work in EHR / EMR systems to retrieve and match insurance claim forms accurately and efficiently to required or requested supporting documentation. The document packets are then sent to the payor either electronically or mailed. Duties include working from work queues to ensure daily volumes are managed and meet department quality and productivity standards. Performs a variety of administrative and staff support duties for a specified department requiring a range of skills and knowledge of organizational policies and procedures.

Works with supervisor/manager to ensure efficient operations of team or department meeting organizational goals for customer service, productivity, and quality initiatives by taking initiative, anticipating needs in a timely manner within delegated scope of authority; assists supervisor/manager/director as requested

• Establishes, maintains, and updates files, databases, records, and/or other documents as requested
• Works collaboratively with all UofL Health entities to obtain or provide information and records
• Print and distribute documents as needed
• Scan and upload documents according to department procedure
• Provides general administrative support to members of the department; uses available systems for calendar/schedule management
• Serves as a resource for supporting department administrative needs
• Cross trained to support Correspondence Team as needed
• Identifies and reports equipment problems which require attention as needed
• Completes special projects as assigned according to established time frames
• Responsible for communication and reporting any system or workflow issues to appropriate leadership or team members
• Demonstrates commitment to professional growth, department growth and competency
• Participates in departmental/ programmatic quality assurance/continuous quality improvement programs to ensure competent and quality delivery of services
• Shares knowledge and actively participates in the professional development of others
• Maintains compliance with all company policies, procedures, and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Education:

High school diploma or GED/ equivalent (required)

Experience:

Prior physician/provider billing experience (required)

Prior experience with Medical Record Maintenance (preferred)

Experience with document sharing, document management, database management, health information services, medical records, and many types of electronic and paper files (preferred)

Medical terminology (preferred)

Job Competency:

Knowledge, Skills, and Abilities critical to this role:

Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community organization

Must be able to answer phones, direct calls and display professional phone etiquette while providing excellent customer service

Manages time effectively, keeps tasks appropriately prioritized, well organized

Ability to build effective, strong working relationships with employees, colleagues, management and vendors through trust, communication, and credibility

Ability to ensure accuracy of data entry, document creation and filing systems in a healthcare environment, attention to detail

Ability to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism

Able to complete duties by established deadlines with little direct supervision

Language Ability:

Must be able to communicate effectively in both verbal and written formats

Reasoning Ability :

Able to think through complex situations and identify appropriate options

Computer Skills:

• Working knowledge of MS Office Suite, Microsoft Word, Excel, and PowerPoint applications
• Ability to learn other systems and databases, as required (EPIC, OnBase)

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
• Maintains confidentiality and protects sensitive data at all times
• Adheres to organizational and department specific safety standards and guidelines
• Works collaboratively and supports efforts of team members
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community