Medical Prep Specialist

JOB SUMMARY

Summarize records and enter guidelines so that Physicians have a clear history of the patient’s current medical condition in conjunction with Utilization Management/Utilization Review process.

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES

• Review abstracted medical records
• Extract electronic medical record data including histories, records, and other health-related information
• Create a clinical summary
• Enter treatment guidelines per jurisdiction, requestor, treatment type, etc.
• Enter pertinent data from electronic medical records into database
• Communicates effectively and professionally
• Meet or exceed productivity and accuracy requirements
• Other duties & special projects, as assigned and based on business needs.

EDUCATION/CREDENTIALS:

• Prior relevant clinical experience involving medical record review, medical claims or quality assurance experience desired.

JOB RELEVANT EXPERIENCE:

• Prior experience with Peer Review and/or Case Management preferred.
• Business experience in a healthcare and/or insurance setting is preferred.

JOB RELATED SKILLS/COMPETENCIES:

• Ability to work independently and in a team environment, excellent time management and prioritization skills, excellent communication skills (written and verbal), strong attention to detail, ability to multitask, ability to be flexible, highly organized, evidence of strong computer skills including Microsoft office suite (e.g., Microsoft Outlook, Excel, and Word)

WORKING CONDITIONS/PHYSICAL DEMANDS:

• Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.

WORK FROM HOME TECHNICAL REQUIREMENTS:

• Supply and support their own internet services.
• Maintaining an uninterrupted internet connection is a requirement of all work from home position.

This job description is subject to change at any time.