Documentation & Authorization Specialist - Pediatric Care

Pediatric Home Service, Inc.; Houston (TX); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Generous Paid Time Off (PTO)

401(k) Matching

Tuition Reimbursement

Professional Development & Learning

Health and Dental insurance

Short & Long Term Disability and Life

Job summary

Pediatric Home Service, Inc. is seeking a full-time Supporting Documentation Specialist in Houston, TX.

The role supports a fast-paced customer service team, handling in-person, email and phone conversations to assist medically complex children and their families. You will obtain documentation, prior authorizations, physician orders, and maintain HIPAA-compliant EHR data, while coordinating with clinics and staff and meeting insurance requirements.

Qualifications

• High school diploma or general education degree (GED); or one to six months related experience and/or training; or equivalent combination of education and experience.
• Exceptionally organized, multi-tasking, problem solving and communication and strong keyboard skills. A high level of initiative combined with a customer service mentality is also required.
• Durable medical equipment (DME) intake/ admissions experience preferred
• Experience in Brightree EHR a plus!
• Experience in obtaining title 19 with health care providers

Responsibilities

• Obtains supporting documentation as required for products and services provided
• Obtains prior authorizations required by insurance companies for products and services provided
• Obtains physician orders for products and services provide
• Complying with insurance benefits & completes data entry requirements
• Maintains all patient status information on an ongoing basis
• Maintains database of physician orders
• Collaborates with clinics and staff to gather needed information
• Maintain compliance with HIPAA and PHS requirements regarding internal and external electronic medical record (EHR) access
• On-call duties/rotation may be required based on business need
• Other duties as assigned

Skills

Organization

Multi-tasking

Problem solving

Communication

Customer service

Keyboard skills

Initiative

Attention to detail

Education

High school diploma / GED

Tools

Brightree EHR

Job description

Pediatric Home Service, Inc. is seeking a full-time Supporting Documentation Specialist in Houston, TX.

The role supports a fast-paced customer service team, handling in-person, email and phone conversations to assist medically complex children and their families. You will obtain documentation, prior authorizations, physician orders, and maintain HIPAA-compliant EHR data, while coordinating with clinics and staff and meeting insurance requirements.