Location: Mulvane, KS, 67110
We are seeking a detail-oriented and organized Medical Records/Reception professional to join our team in Mulvane, KS. This role combines front desk management and medical records responsibilities, serving as a vital link between residents, families, clinical staff, and insurance providers. The ideal candidate will excel in communication, administrative support, and insurance authorization processes while maintaining compliance with healthcare regulations.
- Serve as the primary point of contact for the facility.
- Greet residents, families, and visitors; direct them to appropriate units and maintain a welcoming environment.
- Answer a multi-line switchboard, screen calls, and take detailed messages for staff, nurses, and administration.
- Maintain sign-in/sign-out logs for visitors and assist with resident sign-out procedures for off-site appointments.
- Sort, process, and distribute incoming and outgoing mail, faxes, and facility packages.
- Assist with clerical tasks such as typing correspondence, assembling admission packets, and copying facility documents.
- Review resident medical charts, physician orders, and insurance guidelines to submit timely prior authorization requests for specialized treatments, medications, imaging, or therapy services.
- Verify resident insurance eligibility, benefits, and coverage limitations.
- Serve as the primary liaison between the facility’s clinical team and commercial insurance payers or managed care plans.
- Proactively track submitted authorization requests through payer online portals or phone follow-ups to ensure approvals are secured before services are rendered, minimizing claim denials.
- Collaborate with nursing staff, MDS coordinators, and attending physicians to gather necessary clinical notes, diagnostic codes, and medical necessity justifications required by insurance providers.
- Assist the billing department in researching, updating, and resubmitting paperwork for insurance denials or authorization discrepancies.
- Organize, thin, and maintain resident medical records in the Electronic Health Record (EHR) system to ensure compliance with long-term care regulatory frameworks and HIPAA privacy rules.
- Previous experience in a receptionist or front desk role within a healthcare or long-term care setting preferred.
- Knowledge of medical records management and insurance prior authorization processes.
- Strong communication and interpersonal skills.
- Proficiency with multi-line phone systems and electronic health record (EHR) software.
- Detail-oriented with excellent organizational and clerical skills.
- Ability to maintain confidentiality and comply with HIPAA regulations.
- Familiarity with insurance payer portals and managed care plans is a plus.
Interested candidates are encouraged to submit their resume and cover letter for consideration.
