21 Aug
|
Revesolv
|
Ahmedabad
21 Aug
Revesolv
Ahmedabad
Job Title
Medical Record Retrieval Specialist – US Medical Billing
Department
US Medical Billing / Revenue Cycle Management (RCM)
Job Summary
We are seeking a detail-oriented Medical Record Retrieval Specialist to support our US Medical Billing and Revenue Cycle Management operations. The primary responsibility of this role is to obtain medical records and supporting clinical documentation from healthcare providers and facilities to facilitate accurate billing, coding, claims submission, denial management, audits, and reimbursement.
The ideal candidate should have good knowledge of the US healthcare system, solid communication skills, attention to detail, and the ability to follow up effectively with provider offices and medical facilities.
Key Responsibilities
- Retrieve medical records and supporting documentation from hospitals, physician offices, clinics, laboratories, and other healthcare providers.
- Contact provider offices through phone, fax, email, EHR/EMR portals, and other approved channels.
- Process medical record requests based on established procedures and client requirements.
- Verify patient demographics, dates of service, provider information, and required documentation before submitting requests.
- Follow up regularly on pending, incomplete, or rejected medical record requests.
- Obtain records required for claims submission, coding validation, claim appeals, denials, and payment recovery.
- Review retrieved records for completeness and ensure the requested documentation has been received.
- Identify missing clinical documentation and coordinate with provider offices for additional information.
- Upload, index, and organize medical records in the appropriate billing/RCM systems.
- Maintain accurate tracking of all requests, follow-ups, and received records.
- Update the status of medical record requests in internal systems and maintain appropriate documentation.
- Coordinate with coding, billing, AR, denial management, and quality teams as
📌 Medical Record Retrieval (Ahmedabad)
🏢 Revesolv
📍 Ahmedabad