Focuses on clinical data abstraction that directly supports patient care across SSM Health. Reviews patients’ electronic health records and accurately abstract required data elements. Identifies trends for intra- and post-procedure complications.
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The Medical Records & Referrals Specialist plays a key role in delivering an outstanding patient experience by managing medical records and guiding the referral process. You’ll support both clinical providers and administrative teams by securely handling documentation, keeping patients and partners informed about referral progress, and ensuring all workflows comply with HIPAA and organizational standards. We’re looking for someone who is detail-oriented, highly organized, and comfortable communicating with patients, providers, and external healthcare partners in a professional, empathetic manner.
The Utilization Management Representative will process clinicals to send to payers while the patient is in house, enter authorizations and enter concurrent denials for the RNs. During your 8hr shift you will work with your team to manage the phone queue. A separate workspace, separate from noise between 8:30am-5pm AZ time will be required.