Documentation & Review Specialist

UnityPoint Health St. Lukes

Requisition ID
2021-89194
Category
Home Health and Hospice Patient Services - Non-Nursing
Location
US-IA-Urbandale
Address
11333 Aurora Ave
Affiliate
9400 UnityPoint at Home Affiliate
City
Urbandale
Department
Centralized HME Ops
State
IA
FTE
1.0
FLSA
Non-Exempt
Scheduled Hours/Shift
Monday - Friday, 8a-5p
Work Type (Portal Searching)
Full Time Benefits

Overview

Unity Point at Home

Documentation and Review Specialist

Waterloo/ Des Moines / Sioux City / Quad Cities/ Cedar Rapids

Monday- Friday, 8a-5p

Full-Time, 40 Hours/ Week

 

Reviews all paperwork and patient accounts for accuracy in billing and rental equipment on an ongoing basis and

functions as a quality assurance resource to Home Medical Equipment Department. Reviews and manages all necessary

documentation needed for billing equipment/supplies to insurance.

Responsibilities

  • Responsible for looking at the individual needs of each patient/customer and matching those needs to the many services UnityPoint at Home has to offer; utilizing other members of the home care coordination team as necessary to coordinate services outside of the specialized service line.
  • Processes all incoming work orders, interviewing client/referral source to secure demographic and financial and qualifying data, and securing verification and authorization of benefits as appropriate.
  • Specializes in one or more of the agency’s service lines, yet is responsible for having a basic knowledge of all service lines.
  • Directs inquiries and referrals to the appropriate individual and/or service line. Coordinates incoming calls from both referral sources and patient/customers.
  • Initiates and coordinates prior authorization requests to third party payers and maintains a working knowledge of third party payer guidelines. Follows up with third party payers as necessary.
  • Operates computer system to record/document and retrieve information to ensure appropriate agency services are provided in a timely manner.
  • Establishes and maintains positive working relationships with current and potential customers and referral sources.
  • Builds and monitors community and customer/referral source expectations and perceptions of UPAH as a high quality provider of services; maintaining excellent customer service.
  • Assists other Intake/Home Care Coordinators as directed by the Intake/Home Care Coordination Manager.
  • Maintains a working knowledge of relevant regulations affecting patients and the operation of our business.
  • Performs patient follow up phone calls as directed by manager.
  • Performs other duties specific to some service lines.
  • Maintains regular and consistent attendance at work.
  • Behaves in a manner consistent with company mission, vision and value statements.
  • Maintains compliance with OSHA, accreditation standards and risk management guidelines.
  • Maintains compliance with personnel policies and procedures.
  • Behaves in a manner consistent with all corporate compliance policies and procedures.
  • Performs other duties as requested by Intake/Home Care Coordination Manager to facilitate the smooth and effective operations of the organization.
  • Meets measures as determined and required for job productivity and performance improvement.
  • Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephone messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.
  • Occasional after hours 

Qualifications

QUALIFICATIONS REQUIRED:

  • Strong interpersonal skills.
  • Strong problem solving skills with previous customer service experience.
  • Basic knowledge of computer applications (i.e. Word, Excel) and operations.
  • Ability to work as a collaborative team member.
  • Ability to understand and apply guidelines, policies and procedures.

 

QUALIFICATION PREFERRED:

  • Knowledge of medical terminology, anatomy and physiology.
  • Knowledge of medical billing and collection practices.
  • One year of medical experience; preferably in community home health or home medical equipment.

Job ID: 74074

Posted 16 days ago

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