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Completes patient order confirmations and modifications for item changes occurring after initial order ticket printing to begin revenue recognition and billing processes.
Job Responsibility:
Completes patient order confirmations and modifications
Reviews all paperwork submitted with equipment set up packets
Follows up on safety issues documented by drivers
Processes service maintenance tickets
Maintain a knowledge of Medicare, Medicaid, HMO, Managed Care, PHO's and Advocate contract procedures and guidelines
Verify that current and appropriate authorizations are in place
Identification, investigation and verification of sources of reimbursement
Be proficient in the use of computerized resources and data entry programs
Completes daily update by running the Confirmed Orders for Billing Report
Completes Direct Bill entry for supply closet items
Obtains payable diagnosis codes for item dispensed
Reviews billing system to determine if patient has an existing account or creates a new account
Completes insurance eligibility check
Enters charges through Direct Billing entry
Completes monthly bulk billing
Works weekly Open Orders Report
Confirms or deletes open orders
Completes daily patient record retention and archive processes
Prepares all documents received during the confirmation process for scanning
Operates and monitors scanning/imaging equipment
Reviews output copies
Indexes scanned documents
Storage and destruction of scanned documents
Prepares and works various reports
Works monthly discharge reports
Works monthly Medicare Continued Use report
Follows up on lost/stolen equipment
Provides customer service support to both internal and external customers
Responds to customer equipment questions
Works with Intake and Distribution to answer questions
Back up phone support for all AHCP departments
Runs, collects and tabulates data and submits to management selected, assigned reports
Requirements:
High School Diploma
3-4 years office experience
Understanding of third party payors, including Medicare, Medicaid and private insurance companies
Strong Data Entry ability
Strong Organization Skills
Strong Detail Orientation
Strong Customer Service Skills
Able to work independently with minimal supervision
Nice to have:
Knowledge of medical terminology
Home care experience
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs