Job Description
About Us:Since 1991, Lifeskills Behavioral Health has offered customized treatment programs for all genders, ages 18 and over, suffering from mental health conditions and substance use disorders.We provide clinically excellent, evidence-based, and collaborative treatment programs that are tailored based on each client's unique needs to address a variety of mental health disorders as well as substance use disorders.Through our residential treatment program (RTC), partial hospitalization program (PHP), intensive outpatient program (IOP), and transitional living we ensure our clients can successfully transition back into their home life, family life, and careers with newfound self-esteem, direction, and control.Why You Will Love Working With Us! At Lifeskills Behavioral Health, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for mental health disorders and behavioral health conditions.Since everyone has different experiences with mental health disorders, mental health therapies must be equally unique to address those diverse needs.Working with qualified doctoral level clinicians at Lifeskills gives individuals the opportunity to develop personalized mental health treatment plans that address their needs and help them take the next step in their recovery.Our team's foundation is client centered care and clinical excellence through our 5-star service commitment - Respect, Accountability, Integrity, Flexibility, Service, and Collaboration.We are committed to our team, and our team is committed to our clients! What we offer Collaborative environment dedicated to clinical excellence Multiple Career Development Pathways Company Supported Continuing Education and Certification Multiple Health Plan Design Options Available Flexible Dental and Vision Plan Options 100% Company Paid EAP Emotional Well-Being Support 100% Company Paid Critical Illness (with health enrollment plan) 100% Company Paid Life and ADD 401K with Company Match Company-Sponsored HSA, FSA, and DSA Tax Savings Accounts Generous Team Member Referral Program Parental Leave Position Summary The Medical Records Clerk Appeals Specialist oversees the managing of patient health files in a facility.Their duties include filing records, assisting in audits, and collecting information.Clerks ensure medical records are maintained in a manner compliance with ethical, legal and regulatory requirements of the medical services system.Additionally, the medical records clerk supplies the nursing department with the appropriate documents and forms.The Medical Records Clerk and Appeals Specialist is responsible for safeguarding, organizing, and releasing client health records in accordance with all federal, state, and accreditation standards.This role serves as the primary point of contact for all record requests and ensures the accurate, timely, and confidential handling of clinical documentation for clients, families, referents, legal entities, payers, and regulatory agencies.Additionally, the position supports the Utilization Review team by preparing and tracking written insurance appeals.Relationships and Contacts Within the organization:Maintains frequent and close working relationships with Clinical staff and facility team members throughout the organization.Outside the organization:Initiates and maintains strong professional relationships with clients and families, clinical providers, referral partners and vendors, as needed.Essential Responsibilities Gather patient demographic and personal information.Issue medical files to persons and agencies according to laws and regulations.Ensure patient charts, paperwork, and reports are completed in an accurate and timely manner.Make sure all medical records are protected and kept confidential.Serve as the official custodian of client health records, ensuring proper maintenance, security, and release of information in compliance with HIPAA, AHCA, DCF, and CARF standards.Receive, log, and process all requests for clinical documentation, including those from clients, family members, referents, insurance payers, attorneys, auditors, and internal departments.Verify appropriate authorization for release of information (ROI) prior to disclosure and ensure all releases are documented in the client record.Pull, compile, and redact clinical documentation as needed, ensuring accuracy, completeness, and adherence to confidentiality policies.Track and respond to record requests within required timeframes, maintaining detailed logs of all outgoing disclosures.Coordinate with clinical and administrative staff to retrieve or clarify missing or incomplete documentation.Maintain and update record retention, storage, and destruction logs per policy and legal standards.Appeals and Clinical Support Work closely with Utilization Review staff to assemble documentation for written insurance appeals related to denials, level-of