Documentation & Review Specialist

UnityPoint Health

Cedar Rapids, IA     Full Time
Requisition ID 2021-104003 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.

 

Why UnityPoint Health?

  • Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
  • Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
  • Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

 

Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org/

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.