Medical Documentation Specialist - Billing & Reimbursement Expert

Tactical Rehabilitation Inc; Jacksonville (NC); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Paid Time Off (PTO)

Paid Holidays

Sick Leave

Professional Development Opportunities

Employee Recognition Program

Uniform Stipend ($130)

Job summary

Tactical Rehab is seeking detail-oriented Medical Documentation Specialists in Jacksonville, NC to manage prior authorizations, ensure documentation accuracy, and readiness for reimbursement. You will review authorizations, verify coding, coordinate patient scheduling, and process orders in the EMR to improve patient care.

The role emphasizes problem solving, attention to detail, and independent work in a fast-paced environment. Competitive hourly pay reflects experience and location.

Qualifications

• High School Diploma or GED.
• Excellent written and verbal communication skills.
• 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 and billing applications.

Responsibilities

• 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 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.

Skills

Excellent communication

Organizational skills

Problem-solving

Multitasking

Attention to detail

Numerical proficiency

Education

High School Diploma or GED

Certification in Medical Billing (CMRS or equivalent)

Tools

EMR system

Billing software

Job description

Tactical Rehab is seeking detail-oriented Medical Documentation Specialists in Jacksonville, NC to manage prior authorizations, ensure documentation accuracy, and readiness for reimbursement. You will review authorizations, verify coding, coordinate patient scheduling, and process orders in the EMR to improve patient care.

The role emphasizes problem solving, attention to detail, and independent work in a fast-paced environment. Competitive hourly pay reflects experience and location.