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Documentation Specialist

Mount Vernon, IL

Post Date: 01/18/18 Job ID: 43441 Industry: Customer Service Representative

HireLevel powered by Extra Help is seeking a Documentation Specialist for our client located in Mt. Vernon, IL. The ideal candidate would be able to bbtain appropriate documentation required to bill claims for our Third Party lines of business.

Job Category: Documentation

Job Type: Full Time

Pay Rate: $10/hour

Similar Positions: General Office, Clerical Support, Data Entry

Job Duties for the Documentation Specialist:
  • Responsibilities include reviewing billing held documentation, generating documentation, receiving and verifying requested documentation and performing routine review.
  • Generate payer-specific documentation for new/existing patient orders
  • Log, prepare, scan, quality check and file incoming documentation. Update patient s accounts/orders with regards to documentation and billing status
  • Additional work activities include faxing/secure emailing/mailing of documentation to physicians/patients, outbound follow up calls to physician/patient for outstanding documentation.
  • Work with physician or PFS Coding staff to ensure that correct diagnosis codes are reported to third-party insurance carriers
  • Process rejections/non-qualified documentation by generating corrected documentation or requesting corrections made for any errors and resubmitting documentation to PFS Billing
  • Review and monitor Sales-to-Cash for outstanding documentation and facilitate obtaining documentation to ensure claims are billed in a timely manner. Complete weekly audits of Sales-to-Cash to ensure documentation has been entered and released for billing.
  • Establish relationships with physician offices and other referral sources (Wound Clinics/HHA)
  • Secure medical documentation required or requested by third party insurances. Verify for accuracy and completeness once documentation is returned
  • Work with PFS billing and Reimbursement Services to resolve any documentation issues as appropriate.
  • Other duties as assigned

Job Requirements for the Documentation Specialist:
  • Must have at a high school diploma or equivalent
  • Basic knowledge of Microsoft Excel and Microsoft Word
  • Experience working with verification, documentation and/or medical records.
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements.
  • Working knowledge of Medicare, Medicaid and Commercial payers, its rules and reimbursement.
  • Must meet drug screening and background requirements

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