Medical Scheduler

Shift : Day 5x8-Hour (08 : 00 - 17 : 00)

LHH Recruitment Solutions is seeking a Medical Claims Specialist to provide essential clerical and administrative support for a 3 month contract position with the potential to extend in San Jose, CA. This role is crucial for ensuring the efficient flow of clinical documentation and revenue cycle operations. This is an excellent opportunity to showcase your skills with an established healthcare company.

Key Responsibilities :

• Clinical Documentation Processing : Manage and process clinical documentation to support patient and billing information needs. This includes scanning and attaching documents to electronic medical records, ensuring accuracy and completeness, and triaging urgent documentation to appropriate managers.
• Revenue Cycle Operations : Monitor and track claims processing, follow up with hospital liaisons and physicians for complete documentation, and conduct chart audits to ensure compliance with agency standards.
• Medical Records Management : Perform accurate data entry, manage requests for subpoenaed documentation, and assist with the purge process of medical records.
• Quality Management : Protect patient and agency information confidentiality, ensuring compliance with state, federal, and accreditation requirements.
• Customer Service : Build positive relationships with internal and external customers, using effective communication skills to promote excellent customer service.

Qualifications :

Skills and Knowledge :