CCS Medical

Documentation Representative

US-TX-Farmers Branch
ID
2017-2090
Category
Administrative/Clerical
Position Status
Regular Full-Time
Position Schedule
Monday-Friday
Shift
9am - 6pm

Overview

Position Summary:   

Ensures all necessary medical documents and patient accounts are consistent and complete.  Specifically responsible for obtaining and maintaining Physician’s Written Order (PWO) documents for new and existing patients and to ensure that all supply orders are quality checked before they are confirmed.

Responsibilities

  • Ensures all medial documents and patient accounts are consistent and complete
  • Obtains, reviews and maintains PWO documents for new and existing patients
  • Reconciles and adjusts unbilled claims for patients without CMN (Certificate of Medical Necessity)/PWO
  • Collects documents for CMN hold accounts to allow shipment of future orders
  • Reviews accounts and contacts referrals sources and sales team for accurate PWO’s
  • Audits configuration of supplies based on physician authorization
  • Validates all signed PWO’s match supplied orders including quantity, products, items and physician information
  • Logs PWO’s into Billing system in a timely manner to allow for order reimbursement
  • Maintains tracking mechanism for unique referral sources on the referral’s sources preferred  process on providing signed PWO’s
  • Frequent contact with referral sources personnel such as nurses, physicians and sales department
  • Receives inbound call from physician offices, patients and sales team and transfers calls as appropriate
  • Achieves stated revenue goals, production, and objectives as outlined by Team Leaders or department focus group
  • Escalates recurring problem accounts or physician groups or other trends to the management appropriately and in a timely manner to reduce reimbursement issues
  • Maintains a high degree of confidentiality at all times due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements Abides by all regulations, policies, pr
  • Exercises appropriate cost control measures
  • Maintains positive internal and external customer service relationships
  • Maintains open lines of communication
  • Plans and organizes work effectively and ensures its completion
  • Meets all productivity requirements
  • Demonstrates team behavior and promotes a team-oriented environment
  • Actively participates in Continuous Quality Improvement
  • Represents the organization professionally at all times

Qualifications

 

  • High School diploma and one year medical record or documentation related experience or equivalent combination of education and experience
  • One year of customer service experience required
  • Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
  • Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
  • Understands Medical Records documents such as safety rules, operating and maintenance instructions, and procedure manuals
  • Position may require evening and weekend availability
  • Strong attention to detail, multi-tasking, communication, and organizational skills are essential
  • Accurately performs data entry and pays close attention to detail

                                        Equal Opportunity Employer/Veterans/Disabled

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