and updates Epic EMR database. Performs specialized duties with minimal supervision. Copying and faxing medical records as required.
This position is remote, however, travel to on-site business location(s) is expected, as needed, for trainings and meetings.
Job Description
Primary Duties & Responsibilities:
- Contacts necessary insurance companies for benefit verification and pre-certification of therapy procedures; notifies coding staff for missing, or inaccurate coded services.
- Works with referring physician offices to provide updated orders.
- Verifies ICD-10 diagnosis application with review of Epic database for follow-up visits.
- Collects data for internal/external requests.
- Stays abreast of coding changes.
- Attends applicable meetings and reports results.
- Obtains insurance information from patients and reviews medical record for accuracy.
- Supplies all documentation required during pre-certification process to insurance companies.
- Maintains open communication with providers and referring physicians.
- Maintains written log of all pre-certifications in process.
- Documents and notifies necessary parties of pre-certification when received.
- Reviews, follow-ups, and reconciliation of pre-arrival, patient, and financial work queues as transpired.
- Provides support to patient/office and pre-arrival processes when required.
- Performs other duties as assigned.
Working Conditions
Job Location/Working Conditions: Normal office environment.
Physical Effort: Typically sitting at a desk or table.
Equipment: Office equipment.
Required Qualifications
Education: High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications/Professional Licenses: No specific certification/professional license is required for this position.
Work Experience: Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)
Skills: Not Applicable
Driver's License: A driver's license is not required for this position.
Preferred Qualifications
Skills: Clinical Practice, Communication, Confidential Data Handling, Confidentiality, Critical Thinking, Detail-Oriented, Epic Applications, ICD Coding, Insurance, Interpersonal Communication, Managed Care, Medical Billing and Coding, Medical Terminology, Microsoft Office, Multitasking, Office Equipment, Organizing, Teamwork, Telephone System, Third Party Payers, Working Independently, Written Communication
