What are the responsibilities and job description for the Office Support Specialist - Medical Records position at illinois?
Duties & Responsibilities
Referral Processing
- Guides patients through McKinley Health Center’s referral process by providing students with written instructions, assisting with completion of required documents, and tracking final reports/patient disposition following completion of the patient’s care/service outside of the Health Center.
- Assists patients in determining insurance coverage and preferred healthcare facility, as needed. Obtains pre-authorization for referrals as required by insurance carriers.
- Assists patients in scheduling referrals appointments and communicates with insurance companies and health care facilities, as necessary.
- Confirms patient acceptance of financial responsibility for services rendered outside of McKinley Health Center.
- Identifies and records ICD10 codes, if required by facility/consultant.
- Reviews special instructions for specialty testing/services with patients as required by consulting facility. Assists patient in completion of any required forms.
- Follows McKinley Health Center guidelines to facilitate timely and accurate medical information exchange.
- Prints all pertinent medical documents from EHR pertaining to the referral and faxes of all ordered medical records to consulting body.
- Completes all necessary EHR documentation.
- Reviews incomplete or pending referrals weekly for further follow up.
- Maintains the Referral Manager module in the electronic health record.
Processes release of confidential medical and mental health information requests.
- Reviews release of information requests for completeness, accuracy and legalities related to state and federal laws.
- Reviews medical and mental health records to determine specific information which may be released based on release requests.
- Redacts medical records as required by law prior to release to ensure patient confidentiality and privacy are protected.
- Releases medical records in a timely fashion for continuity of care, referral, legal issues, etc., and bills for services, when applicable.
- Communicates with patients, providers, 3rd party requestors, Legal Counsel, and McKinley Health Center Staff regarding release of information processes, rules and regulations.
- Serves as resource and educates other clinic staff, including physicians, mental health staff and nurses, in appropriate completion of release of information documents and release process.
- Performs quality assessment activities and gather data for statistical studies, as requested.
- Responsible and accountable to support and ensure a culture of safety, quality and risk management including compliance with ethics.
- Assumes appropriate additional related duties to further the mission of the unit.
