Job Title: Exceptions Specialist
Location: San Diego, CA
Department: Operations
Status: Full Time
Reports To: Exceptions Lead
This job description is intended to be a general statement about this job and is not to be considered a detailed assignment. It may be modified to adjust for necessary changes.
Job Summary
Support QC, Customer Service, Credit & Collections and the field to resolve issues related to completing ROI requests.
Requirements
- Attention to detail
- Ability to work in a fast-paced, production oriented environment
- Ability to work well in a small team environment
- High level of reliability, productivity, and professionalism
- Good communication skills
- PC literacy, able to use MS Word, Excel, Outlook, and other Windows-based programs
- Able to do Data Entry & Quality Control of medical records being sent to various requestors
Responsibilities:
- Ability to use internal electronic based record workflow systems such as BactesInMotion, Record Management, Intranet, Exceptions Management, etc.
- Ability to quickly determine whether we have the legal right to release records based on HIPAA rules and regulations
- Adhere to state and federal laws for release of information (ROI)
- Adhere to all SHDS rules and regulations
- Accurately & efficiently identify different type of records
- Ability to make decisions on different types of records
- Communicate with the various departments to work through record workflow issues and resolve problems.
- Perform data entry
- Ability to research and fix problem records through Record Management
- Ability to prioritize & meet deadlines
- Make outbound calls to requestors and/or SHDS field representatives when requested
- Assist entry level employees with questions & concerns
- The ability to work independently and being productive with little supervision
- Requires being reliable, responsible, dependable, and fulfilling obligations
- Ability to escalate important or critical situations to supervisor
- Good communication skills, both written and oral
Working Conditions
- The work environments involve everyday risks or discomforts which will require normal safety precautions typical of an office setting.
Compensation Package
- Based on experience
- Health Insurance
- Dental Insurance
- 401k plan
HIPAA/Compliance
- Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes.
- Comply with all regulations regarding corporate integrity and security obligations
- Report unethical, fraudulent, or unlawful behavior or activity
- Maintain current and yearly HIPAA certification.
Acknowledgement
Sharecare Inc., and BACTES are Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy national origin, sexual orientation, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation, or belief.