At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.
Documentation Specialist
Documentation Specialists creates and generates electronic forms requesting patient documents from physicians and insurances, as well as collect and manage patient eligibility documents. Additionally, responsible for maintaining a timely revenue cycle for all the goods and services provided by AdaptHealth.
Job Duties:
Create and generate electronic forms requesting patient documents from physicians.
Collect and manage patient eligibility documents such as prescriptions, certificates of medical necessity, letters of medical necessity and prior authorizations.
Contact doctor offices as necessary to collect prescriptions, certificates of medical necessity, letters of medical necessity, clinical notes, and lab results.
Contact insurance companies to collect approved prior-authorization requests.
Escalate recurring problem accounts or physician groups or other trends to the management appropriately and in a timely manner.
Maintain regular, predictable, consistent attendance and flexibility to meet the needs of the department.
Understand and follow all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements.
Plan and organize work effectively and ensure its completion.
Meet all productivity requirements.
Demonstrate team behavior and promote a team-oriented environment.
Actively participate in continuous quality improvement.
Always represent the organization professionally.
Serve as backup to Customer Service department for customer concerns, issues, complaints, or questions.
Analyze documentation required for billing services and ensure compliance to payer requirements.
Resolve pending revenue by reconciling received documentation and pending charges.
Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation.
Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.
Requests authorization from state Medicaid programs.
Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.
Competency, Skills and Abilities:
Decision Making
Analytical and problem-solving skills with attention to detail
Strong verbal and written communication
Excellent customer service skills
Proficient computer skills and knowledge of Microsoft Office
Ability to prioritize and manage multiple tasks
Reports To: Department Manager Approved by: Human Resources
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
Requirements
Minimum Job Qualifications:
High School Diploma or equivalent
One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
Estes cookies são necessários para o funcionamento do sítio Web e não podem ser desactivados nos nossos sistemas. Pode configurar o seu browser para bloquear estes cookies, mas nesse caso algumas partes do sítio Web poderão não funcionar.
Segurança
Experiência do utilizador
Cookies orientados para o grupo-alvo
Estes cookies são instalados no nosso sítio Web pelos nossos parceiros publicitários. Podem ser utilizados por estas empresas para definir o perfil dos seus interesses e mostrar-lhe publicidade relevante noutro local.
Google Analytics
Anúncios do Google
Utilizamos cookies
🍪
O nosso sítio Web utiliza cookies e tecnologias semelhantes para personalizar o conteúdo, otimizar a experiência do utilizador e para individualizar e avaliar a publicidade. Ao clicar em OK ou ao ativar uma opção nas definições de cookies, está a concordar com isto.
Os melhores empregos à distância por correio eletrónico
Junte-se a mais de 5'000 pessoas que recebem alertas semanais com empregos remotos!