Suspended Billing Representative - Littleton, CO
Location: Littleton Colorado
Description: Coram is hiring Suspended Billing Representative - Littleton, CO right now, this occupation will be placed in Colorado. Detailed specification about this occupation opportunity kindly see the descriptions. Coram, an Apria Healthcare Company, is a leading provider of specialty infusion and pharmacy distribution services with more than 80 branch locations, over 50 infusi! on suites and 2 specialty pharmacies throughout the country. Our more than 3,600 employees, including nearly 1,000 infusion nurses and pharmacists, are known in the industry for providing a high level of personalized care to thousands of home and infusion suite IV and specialty pharmacy patients every day. Please visit our website at
www.coramhc.com
and
www.coramrx.com
Suspended Billing Representative
Do you have experience following up on outstanding medical documentation such as CMNs, LMNs, or authorizations? Are you looking for a change of pace? Do you want to join a growing company in the healthcare field and gain experience with enteral operations? If so, please take a closer look.
Performs follow-up on outstanding Certificates of Medical Necessity (CMNs), prescriptions and processes renewal CMNs/prescriptions through the use of suspended billing reports.
Maintains and monitors follow up system to confirm t! hat action takes place per Apria "best practices".
Pe! rforms timely follow-up on renewal authorizations to maintain reimbursement activity.
Contacts patient to gain involvement in problematic situations.
Elevates aged prescriptions to manager for decision and resolution.
Evaluates all completed CMNs/prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations.
Enters CMNs/prescription information into computer once the prescriptions are completed and returned from the physicians.
Documents all account activity on system. May perform internal quality audits to ensure that all necessary documentation is included in each patient file.
Processes, reviews and mails prescription and/or CMNs to physicians for signature.
Provides feedback on errors identified to the appropriate supervisor through the use of the ENF process or other accepted method.
Assists in obtaining authorization for reimbursement for some accounts.
Requests adjustments on accounts and recommends necessary changes to supervisor.
Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".
Performs other related duties as directed by supervisor.
Qualifications
Education or experience equivalent to a high school diploma is required.
At least one year related experience is required.
Apria Healthcare
(or Coram Healthcare
) is an equal opportunity employer. All employment decisions are made without regard to race, color, age, gender, gender identity or expression, sexual orientation, marital status, pregnancy, religion, citizenship, national origin/ancestry, physical/mental disabilities, military status or any other basis prohibited by law.!
Because Apria believes in providing a safe work environment, ! we conduct drug and background checks in our recruiting/hiring processes. AA/EOE, M/F/D/V
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Coram.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Fri, 20 Sep 2013 05:56:23 GMT