Medical Documentation Specialist at Tactical Rehabilitation, Inc

Jacksonville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Feb, 26

Salary

0.0

Posted On

25 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Team Player, Verbal Communication Skills, Written Communication Skills, Problem Solving, Organizational Abilities, Ability to Work Independently, Ability to Work in a Fast-Paced Environment, Ability to Multi-Task, Excellent Research Skills, Analytical Skills, Problem Resolution Skills, Billing Software Experience, Comfortable with Numbers, Data Compliance, Knowledge of US Military, Medical Billing Certification

Industry

Description

Description Summary/Objective: The Medical Documentation Specialist will process and follow-up on Prior Authorizations. The Specialist will process all fulfilled patient orders after validating/documenting any discrepancies within the EMR. Duties/Responsibilities: Essential: Checks to ensure that records for patients include all information required for insurance reimbursement Submits for corrections for documentation as allowed by predetermined policies Initiate’s office process between patient/provider contact for appointment scheduling Communicates with Office managers to facilitate corrections that cannot be processed internally Verifies correct coding to ensure prompt payment Inputs correct billing information and submits to Team Leader for final review Attends training to keep abreast of changes in Tri-Care and Humana billing Review incoming authorization Validates the product is an approved item that Tactical offers Make patient files for offices to contact patient and deliver product Review POD packets to ensure accuracy for reimbursement Enforce both billing and compliance issues Adhere to all safety regulations; compliance with Medicare/HIPAA and other governmental regulations Adhere to all company procedures and policies Required Skills/Abilities: Team player Must have verbal communication skills and hearing ability to discuss billing with affected parties Excellent written and verbal communication skills Problem Solving and Organizational abilities Ability to work independently Ability to work in a fast-paced environment Ability to multi-task, prioritize, and work efficiently Excellent research, analytical and problem resolution skills Ability to navigate various applications for billing claim management Confidently navigate internet-based programs Experience with billing software preferred Adheres to laws and best practices in regard to dealing with customers and data Comfortable dealing with numbers and the processing of financial information Education and Experience: High school diploma or equivalent Preferred Education and Experience Certification in Medical Billing. 6 months of experience in providing patient services in a health care setting, medical office, sports rehab, fitness, or retail environment Basic knowledge of US Military, prior service or family / spouse of active duty or veteran Physical Requirements: Prolonged periods of sitting at a desk and working on a computer Must be able to lift up to 15 pounds at times Supervisory Responsibilities: None Position Type/Expected Work Hours: This is a full-time position; days of work are Monday through Friday and hours vary by location Work may be required on weekends or evenings Travel: Primarily local during the business day Out-of-town and overnight travel may be required at times Other Duties Learn about OHI (other health insurance), the effects it has on the patient / billing and the steps to take to verify the OHI Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice Other duties as assigned

Responsibilities

The Medical Documentation Specialist will process and follow-up on Prior Authorizations and validate/document any discrepancies within the EMR. They will ensure that patient records are complete for insurance reimbursement and communicate with office managers for necessary corrections.