Documentation & Authorization Specialist - Pediatric HomeCare

Pediatric Home Service, Inc.; Jacksonville (FL); Hybrid; USD 38,000 - 52,000; Full time

Benefits offered by this job

Generous 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 to join our customer service team.

You will obtain documentation, prior authorizations, and physician orders for our pediatric home care products and services. Based in Jacksonville, FL, you’ll work Monday–Friday 8am–5pm in a fast-paced environment, collaborating with clinics and staff, maintaining patient records, and ensuring HIPAA compliance.

Qualifications

• High school diploma or GED or equivalent.
• Highly organized with strong multitasking and communication skills.
• DME intake/admissions experience preferred.
• Brightree EHR experience is a plus.
• Experience obtaining Title 19 with health care providers.

Responsibilities

• Obtain supporting documentation as required for products and services.
• Obtain prior authorizations required by insurance.
• Obtain physician orders for products and services provided.
• 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 EHR access.
• On-call duties/rotation may be required based on business need.
• Other duties as assigned

Skills

Customer service

Organization

Communication

Multitasking

Problem solving

Education

High School Diploma or GED

Tools

Brightree EHR

Job description

Pediatric Home Service, Inc. is seeking a full-time Supporting Documentation Specialist to join our customer service team.

You will obtain documentation, prior authorizations, and physician orders for our pediatric home care products and services. Based in Jacksonville, FL, you’ll work Monday–Friday 8am–5pm in a fast-paced environment, collaborating with clinics and staff, maintaining patient records, and ensuring HIPAA compliance.