Hybrid Revenue Qualification Specialist - CMN presso Barnes Drug Stores of Valdosta Inc

Description

Revenue Qualification Specialist Position Summary

Supports the overall business plan and strategic direction of the organization by tracking and receiving documents including certificates of medical necessity, face to face documentation, test results, and compliance downloads for all payers.  

How We Take Care of our Revenue Qualification Specialists

Competitive, market-based compensation and benefits that include:

• Health, dental, vision insurance + ancillary choices as well 
• Teladoc services (provided at no cost)
• $50,000 Life insurance (provided at no cost)
• Employee Assistance Program (provided at no cost)
• 401K retirement + company match
• Short- & long-term disability
• 15 days paid vacation
• 8 Paid Holidays
• 40 paid volunteer hours
• Bereavement time off
• Quarterly company events

Revenue Qualification Specialist Essential Functions

• Models and holds others accountable to the Barnes culture and acts as a coach and mentor for others in the organization.
• Provides timely and accurate processing of revenue cycle workflows to facilitate whole patient care, maximize financial performance, and supports the vision and mission of the organization.
• Creates and track CMNs/SMNs, sends prepared CMNs/SMNs to the physician’s offices, and follows up on the return of CMNs/SMNs. 
• Performs quality assurance checks on returned CMNs/SMNs to verify accuracy of information and log in billing system. 
• Contacts patients for updated information and communicates with field locations to obtain needed information. 
• Proactively works to reduce unbilled dollars holding by working reports and tracking within the billing system.
• Maintains current knowledge of documentation requirements for all payers.
• Prioritizes internal or external customer needs, works to find win-win solutions, and communicates in a timely, credible, and transparent manner. 
• Maintains compliance with federal, state, and local laws and regulations, and recommended best practices, and stays abreast of trends, best practices, and regulatory changes.
• Other duties as assigned.

Revenue Qualification Specialist Minimum Qualifications 

• High school diploma or equivalent required
• AA or higher preferred
• Medical billing/revenue cycle experience strongly preferred

Working Conditions

• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

Requirements

The Barnes Difference

For those looking for a workplace that is as compassionate with its staff as it is with its patients – Barnes Healthcare has what you are looking for. Providing unparalleled service since 1909, we do not just offer you a job; we welcome you into a family committed to outstanding care, community spirit, and meaningful impact. Our history exists simply because of the people committed to delivering on our driving purpose - We Take Care of People. ™

• A Legacy of Caring - Join forces with a healthcare pioneer! Experience how we have earned the trust of countless families through over a century of unwavering dedication to nurturing health and happiness.
• A Culture of Empathy - Dive into an environment where patients' wellness journeys shape our business. Your empathy and insights are valued, heard, and pivotal in crafting holistic care experiences.
• Community Engagement - Engage with local endeavors, enrich lives, and witness firsthand the difference you make every day. We provide 40 hours of volunteer time off to allow you to get involved with our communities in a personal way. Our commitment to our communities has led to raising over $800,000 for those we serve since 2009.
• Daily Fulfillment – Your experience will be much more than a paycheck. It is the gratification of knowing your work profoundly improves lives, contributing to delivering compassionate care for those we serve.
• Exceptional Teamwork – Your purpose is shared with a group of passionate, talented, and supportive colleagues who work together to deliver a transformative impact and legendary customer service. You will find a second family here.
• Deep Roots – Become a part of a fourth-generation family business whose success has always been measured by the number of lives we impact and not by the earnings of outside shareholders.

Ready for a career that nourishes your soul as you nurture others? Your opportunity is here, with a family that cherishes your ambitions as much as you do. Step into your role at Barnes Healthcare. Apply now and join with us as we continue our history of doing what we do best – We Take Care of People. ™