Medical Documentation Specialist - Billing & Reimbursement

Tactical Rehabilitation Inc.; Jacksonville (NC); Presencial; USD 25 000 - 39 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

PTO

Paid Holidays

Sick Leave

Professional Development

Recognition Program

Uniform Stipend

Resumo da oferta

Tactical Rehab in Jacksonville, NC is seeking a Medical Documentation Specialist to manage prior authorizations, documentation accuracy, and reimbursement readiness. You will review authorizations, verify documentation and coding, and coordinate with offices on scheduling and delivery, processing fulfilled orders in the EMR.

Strong attention to detail and comfort with numbers are essential as you ensure compliant billing and timely payments while supporting patient care and regulatory

Qualificações

• High School Diploma or GED.
• Excellent written and verbal communication.
• Strong organizational, research, and problem-resolution skills.
• Ability to multitask, prioritize, and work independently in a fast-paced environment.
• Comfort working with numbers and processing financial information.
• Ability to navigate multiple internet-based billing applications.

Responsabilidades

• Review incoming prior authorizations and verify that the requested product is an approved item Tactical Rehab offers.
• Process and follow up on prior authorizations through approval, denial, or resubmission.
• Confirm that patient records contain all information required for insurance reimbursement.
• Submit documentation corrections as allowed by predetermined policies.
• Initiate the office process for patient/provider contact and appointment scheduling.
• Communicate with Office Managers to facilitate corrections that cannot be processed internally.
• Verify correct coding to support prompt payment and input accurate billing information for Team Leader review.
• Create patient files so offices can contact the patient and deliver the product.
• Review Proof of Delivery (POD) packets to confirm accuracy for reimbursement.
• Process fulfilled patient orders after validating and documenting any discrepancies in the EMR.
• Learn and apply OHI (Other Health Insurance) rules, including the effect on the patient and billing and the steps to verify OHI.
• Stay current on TRICARE and Humana Military billing changes through ongoing training.
• Support billing and compliance requirements in accordance with Medicare, HIPAA, and other governmental regulations.
• Ensure compliance with company policies, safety standards, and healthcare regulations.

Conhecimentos

Written and verbal communication

Organizational skills

Multitasking

Numerical proficiency

Formação académica

High School Diploma or GED

Ferramentas

EMR systems

Billing software

Descrição da oferta de emprego

Tactical Rehab in Jacksonville, NC is seeking a Medical Documentation Specialist to manage prior authorizations, documentation accuracy, and reimbursement readiness. You will review authorizations, verify documentation and coding, and coordinate with offices on scheduling and delivery, processing fulfilled orders in the EMR.

Strong attention to detail and comfort with numbers are essential as you ensure compliant billing and timely payments while supporting patient care and regulatory