Physician Certification Statement / Documentation Coordinator

• PCS Research and Validation: Review and validate Physician Certification Statements (PCS) for accuracy in signatures, printed names, medical necessity, dates, credentials, and destinations.
• Mail Requests: Send requests for PCS or Non-Emergent Ambulance Transport forms within defined timelines dictated by Medicare or Medicaid guidelines.
• Communication: Secure PCS forms by contacting nursing homes, physicians, patients, and various facilities. Develop and maintain strong relationships with healthcare partners in the communities we serve.
• Billing Preparation: Schedule claims for billing using billing software.
• Patient Confidentiality: Maintain patient confidentiality in accordance with HIPAA regulations.
• Additional Duties: Perform other duties as assigned.

• Proficient with a PC
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
• Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
• Knowledge of medical terminology
• Knowledge of Medical Billing
• Ability to work independently and with a group
• Working knowledge of MS Word, Excel
• Ability to maintain effective working relationships.
• Thorough knowledge of office practices
• Ability to type at least 35 words per minute.
• Proficiency using 10 key
• School Diploma or GED

Minimum of two years revenue cycle management or clinical experience preferred.