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Documentation Specialist

Olivette, MO 63132

Post Date: 04/21/18 Job ID: 43724 Industry: Billing Clerk

HireLevel powered by Extra Help is seeking a Documentation Specialist in Olivette, MO!

The function of a NPP Documentation Representative is to maintain the continuity of service for Non-Private Pay customers by ensuring our client receives the documentation to support needed orders in a complaint manner quickly and accurately, and to provide support within the Non-Private Pay departments.

Job Category: Contract to Direct, Full-time

Location: Olivette, MO

Shift Times: Monday-Friday, 8: 00am-4: 30pm or 8: 30am-5: 00pm (Occasional Saturdays may be required)

Similar Positions: Medical Biller, Call Center, Pharmacy Technician, Data Entry Specialist

Compensation of the Documentation Specialist:
  • $14 an hour, plus bonus structure

Additional responsibilities of the Documentation Specialist:
  • Take all actions necessary to ensure timely renewal/acquisition of customer prescriptions, Prior Authorizations, Certificates/Letters of Medical Necessity or other items required to be compliant with documentation regulations for Medicare, Medicaid and other Third Party payers
  • Follow-up with physicians, customers and payers via inbound/outbound calls, emails, faxes or other means to facilitate receipt of prescriptions, certificates of medical necessity and other items necessary for service
  • Communicate with customers, physicians, payers and others, both verbally and in writing, in a friendly, concise, professional manner
  • Fax prescriptions to physicians, customers and payers as necessary
  • Submit requests for PAs online, via fax, mail and other means as applicable
  • Review incoming prescriptions, LMNs, CMNs and other documentation received via mail, fax or email and validate the accuracy of the documents per payer guidelines
  • Enter documentation details quickly and accurately in HALO as applicable
  • Verify that all information is current and complete at each interaction
  • Accurately and completely communicate to leads, customers, physicians, payers and others, all items needed to initiate and/or continue services
  • Determine customer needs or purpose of their call and provide detailed information regarding the Non-Private Pay process
  • Run orders and update customer accounts accurately as applicable
  • Research information beyond existing procedures as required to meet customer needs
  • Potentially provide service to hostile or angry individuals/physicians
  • Provide the needed assistance to the department regarding the documentation required by specified payer
  • Work cooperatively with staff from own department and other departments to identify service problems, make recommendations, and plan and coordinate program and communication changes
  • Work to meet or exceed individual goals and department objectives
  • Maintain a high degree of confidentiality pertaining to customer situations



NPP Documentation Representative will assume responsibility for related duties as required or assigned including but not limited to:


  • Assist the Verification Representatives as applicable as well all departments personnel as needed
  • Fill in as needed in other capacities of the company as required or assigned
  • Complete special projects and miscellaneous assignments as required
  • Keep management informed of area activities and of any significant problems
  • Attend and participate in meetings as required
  • Ensure that work area is clean, secure and well maintained



Additional requirements of the Documentation Specialist:
  • Ability to understand the billing/documentation requirements for governmental/Third Party payers strongly preferred
  • Ability to communicate customer needs to physician office
  • Ability to independently handle complaints and upset individuals during phone interactions
  • Attention to details and accuracy along with strong organization
  • Strong verbal, writing and typing skills
  • Ability to multitask
  • Cooperative and willing to assist others
  • Able to use computer applications, telephone, PC, copier, fax machine and other basic business machines
  • Medicaid, Medicare and/or Insurance customer service experience preferred
  • High School Diploma or GED
  • Must meet client s background and drug screening requirements



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