Medical Policy Specialist jobs in Lebanon, PA

• Answer phones, assist callers, and relay messages as necessary.
• Merge/Update unidentified patients within 24 hours for the system.
• Provides 24/7 coverage for Telemedicine linking of the Medical Record and provides off hour.
• Preps, Scans, QCs and validates paper medical records for appropriate locations (Inpatient and Outpatient Surgery) into the Kofax/Tower system, so they are viewable in the Electronic Medical Record (EPIC).
• This work is done both in an office setting as well on inpatient floors using mobile carts/scanning units.
• Performs Double number verifications and merges for the entire Health system.
• Will identify corrective actions to decrease the number of duplicate medical record numbers created.
• If paper records exist all information will be combined into the keep number.
• Generates the Health Plan Extract Report (M-F and Holidays).
• Searches for MRNs and assigns new MRNs for patients who do not have an existing MRN.
• Enters MRNs on the extract and returns to the Health Plan within 24 hours.
• Releases Medical Information for urgent and emergent continuation of care cases during off hours, weekends, and holidays.
• Assigns new medical record numbers in both Epic and Siemens systems and inputs patient demographic information.
• Verify all scanned records are viewable in the proper encounter within the EPIC system.
• Copy QIO appeals on off hours (weekends and holidays) if received.
• Retrieves paper records, and microfilm from the file area and all appropriate Campus Clinic Areas for all requesting departments in the hospital and re-files all returning records to the department.
• Provides 24/7 coverage to transport and dispatch records/mail ect.
• to appropriate locations.
• Enters deceased dates for system per Weekly Death Report, Obits, Phone Calls, and Death Notifications.

Work is typically performed in a clinical environment. Constant standing, walking, bending, and lifting up to 25 pounds are involved in job duties. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.