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Performs customer registration function for all DME businesses to include referrals from hospitals, nursing homes, and physician offices. Responsible for requesting appropriate medical records and verifying all documentation is received. Provides timely follow up on information requested to ensure customer can receive services as quickly as possible.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High school graduate or equivalent.
EXPERIENCE:
1. One (1) year experience in customer service.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. Experience in home medical equipment and insurance coverage.
2. Experience with ICD-10 and CPT-4 coding.
3. Experience in a hospital or physician/clinic office.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Receives patient demographics accurately from referral, hospital, or other source, as necessary, following policy guidelines established for new patient set-ups. Responsible for obtaining physician orders from the physician's office, hospital, or other referral source. The physician order must be complete as stated in policy. Research for additional documentation in EPIC as needed
2. Enter orders in the computer system for sales, new set-ups, updating information accurately and completely when applicable. This documentation will meet or exceed state regulations.
3. Monitors and responds timely to electronic referrals - (AllScripts and Navinet).
4. Receives orders from Hospice and process's timely to ensure prompt delivery as required by contract.
5. Provides necessary information to Insurance Verification Specialist as required for authorization of supplies/equipment orders. Will be cross-trained in pre-authorization process.
6. Utilizes computer notepads for complete and detailed documentation and communication for all actions related to the customer's account. Consistently records messages and communication between customer, referral, payer, billing office accurately and within 2 hours of encounter. In a timely manner, forwards this information or correspondence to the appropriate staff member.
7. Develops and maintains a working knowledge of current Medicare, Medicaid, insurance regulation and ACHC guidelines.
8. Follows up on open orders timely. Works WIP report and follows daily task sheet. Ensure as many sales orders are ready to be confirmed by month end as possible.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Sedentary to light physical demand (10-20lbs).
2. Frequent sitting.
3. Visual ability to see details at a distance (corrected to 20/40), to see details objects at a close range (within a few feet of the observer) to match or detect differences between colors, including shades of colors and brightness and to judge which of several objects is closer or farther away from the observer, or to judge the distance between an object and the observer.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Typical office environment.
SKILLS AND ABILITIES:
1. Able to use computer software, fax machines, printers and other office equipment.
2. Strong communication skills.
3. Strong customer service skills.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
AHS LLC AHS LLC
Cost Center:
392 GHC Access Administration
Address:
6040 University Town Center Drive
Morgantown
West Virginia
WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.