Job Description
Position Overview The Lead Medical Records Specialist plays a critical role in overseeing medical records operations for a national behavioral health treatment provider.This position is responsible for supervising medical records workflows, managing data tracking and reporting, supporting insurance-related documentation requests, and collaborating closely with billing and revenue cycle teams.The ideal candidate brings prior supervisory experience, a strong understanding of chart retrieval and chart review, and familiarity with insurance processes and claims support.This role is well-suited for candidates coming from a medical records leadership role, utilization review environment, or insurance company background.Key Responsibilities Supervise and support a team responsible for medical records, chart retrieval, and documentation workflows Manage and maintain medical records spreadsheets and tracking tools to ensure accuracy, timeliness, and compliance Coordinate with the billing and revenue cycle departments to respond to insurance provider requests, audits, and documentation needs Pull claims and supporting clinical documentation as requested by internal teams or payors Oversee chart retrieval and chart review processes to ensure completeness and adherence to payer and regulatory standards Monitor turnaround times and prioritize urgent insurance and billing-related requests Ensure medical records are organized, accurate, and compliant with HIPAA and company policies Identify workflow inefficiencies and assist with process improvements and SOP development Serve as a point of escalation for complex chart, claim, or documentation issues Support training, onboarding, and ongoing performance management of direct reports Qualifications Prior supervisory or lead experience in a medical records, utilization review, billing support, or healthcare operations role Strong experience managing medical records spreadsheets, trackers, or reporting tools Hands-on experience with chart retrieval and chart review processes (strongly preferred) Experience collaborating with billing departments and responding to insurance provider requests Familiarity with pulling claims and supporting claims-related documentation Background working at an insurance company or payer organization is a plus Experience in behavioral health, substance use disorder, or healthcare settings preferred Strong organizational skills and attention to detail Ability to manage multiple priorities in a fast-paced, deadline-driven environment Proficiency with EHR systems and Microsoft Excel or Google Sheets Preferred Experience Behavioral health or substance use disorder treatment environment Insurance audits, post-payment reviews, or documentation requests Utilization review or revenue cycle management support Multi-site or national healthcare organization experience Why Join Us Join a growing national behavioral health organization Opportunity to work cross-functionally with billing, compliance, and clinical teams Stable leadership role with room to influence systems and processes Competitive compensation and benefits package Remote or hybrid flexibility depending on location Job Type:Full-time Pay:$50,000.00 - $55,000.00 per year Benefits:401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Experience:billing/insurance:1 year (Required) EHR systems:1 year (Required) medical records:4 years (Required) lead medical records specialist:1 year (Preferred) Work Location:In person.