Medical Documentation Representative - South Bend

Career Details

Full-Time South Bend, IN Posted on 4/10/2022

Essential Functions

·        Obtains prior authorization for medical equipment and/or services as required.

·        Verifies qualifying diagnosis for medical equipment.

·        Obtains additional documentation, letters of medical necessity (LMN) and/or office notes for medical equipment and/or services.

·        Obtains sleep study results and verifies qualifying information for medical equipment as needed.

·        Works with other HME companies to obtain required documentation when customer chooses to change providers.

·        Calls customers as needed to verify continued use of equipment.

·        Mails physician's written physician orders (WPO's) for medical equipment.

·        Verifies that customers maintain equipment only for time prescribed by physician. Work with physician to extend authorization on rental equipment if needed.

·        Assists with locating lost equipment as needed.

·        Provides reports on billing activities as requested by the Billing Department Supervisor/Director of Reimbursement.

·        Maintains customer confidentiality and business privacy. Is knowledgeable and follows all HIPAA guidelines.

·        Participates in continuing education programs and/or in-services appropriate to job responsibilities or as required.

·        Performs related responsibilities and other duties as required or directed.

Minimum Qualifications

·        Effective interpersonal, time management and organizational skills.

·        High School Diploma or Equivalent

·        Prior experience working with insurance and claims processing (preferred).

·        Prior experience working with billing software (preferred).

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.

·        The employee is regularly required to stand, walk, and sit as well as talk and hear.

·        The employee is required to use hands to operate office equipment.

·        The employee must occasionally lift and/or move up to 20 pounds

Job Type: Full-time