Billing/Document Specialist (remote)

Our Client is looking for CSR/Document Specialist (Remote)

Position Overview:

• Doc Collections Specialist position qualifies physician related documentation based on third party payers’ requirements.
• Acts as the liaison between internal and external customer, third-party payer to ensure the order meets regulatory and payer requirements.
• Obtain and analyze required documentation for clean billing of claims.

Responsibilities

• Analyze and prioritize work list based on departmental inflows and to minimize pre-billing write offs.
• Quality check of initial order release to ensure third party payer and coverage criteria is met
• Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate payer criteria.
• Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on payer specific coverage criteria.
• Call customer or field personnel to obtain missing documentation required for billing. Could include home health agencies, patients, hospital/facilities, physicians.
• Build support and maintain patient, physician, and third-party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization.
• Provides a high level of customer service in a competitive market.
• Acts as a resource for Sales and other cross functional departments to provide billing status and any other information.
• Participates in all reasonable work activities deemed suitable and assigned by management.
• Conforms to, supports and enforces all Company policies and procedures.

Required Qualifications

• High School diploma or equivalent.
• Demonstrated customer service skills.
• Experience with Microsoft Office applications including Word, Excel, and email.
• Demonstrated ability to interact with all employees and external business contacts while conveying a positive, service-oriented attitude.
• Demonstrated problem-solving skills.
• Demonstrated ability to work in a team environment, as well as independently.
• Ability to multi-task and adapt in a fast-paced and changing environment.
• Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.
• Ability to communicate effectively both verbally and in writing.
• Satisfactory completion of all training programs.

Preferred Qualifications:

• Two or more years of related healthcare experience.
• Call center experience.
• Some college course work completed.

Essential Functions

• Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time.
• Works with moderate work direction, and can identify issues/problems but may need assistance in resolving.
• Worker processes orders, prepares correspondence, and fulfills customer needs to ensure customer satisfaction.
• Has knowledge of commonly-used concepts, practices, and procedures within a particular field.
• Relies on instructions and pre-established guidelines to perform the functions of the job.
• Works under immediate supervision.
• Primary job functions do not typically require exercising independent judgment.
• Typically reports to a supervisor or manager.