Pediatric Documentation & Authorization Specialist

Pediatric Health Choice, Inc.; Richardson (TX); In loco; USD 38.000 - 50.000; Tempo pieno

Vantaggi offerti da questo lavoro

Generous Paid Time Off (PTO)

401(k) Matching

Tuition Reimbursement

Health and Dental insurance

Short & Long Term Disability and Life Insurance

Descrizione del lavoro

Pediatric Health Choice, Inc. is looking for a full-time Supporting Documentation Specialist to join our customer service team. This role is critical in obtaining necessary documentation and prior authorizations to support our mission of helping medically complex children thrive at home.

The ideal candidate will be organized, able to multitask, and have strong communication skills. Experience with durable medical equipment (DME) intake and Brightree EHR is a plus. We offer generous PTO, 401(k) matching, and professional development opportunities.

Competenze

• High school diploma or general education degree (GED); or one to six months related experience and/or training.
• Exceptionally organized, multi-tasking, problem-solving, and strong communication skills are required.
• Durable medical equipment (DME) intake/admissions experience preferred.

Mansioni

• Obtain supporting documentation for products and services provided.
• Obtain prior authorizations required by insurance companies.
• Maintain compliance with HIPAA and PHS requirements.

Conoscenze

Organizational skills

Problem solving

Communication skills

Keyboard skills

Formazione

High school diploma or GED

Strumenti

Brightree EHR

Descrizione del lavoro

At Pediatric Home Service, we help medically complex kids live their best lives, at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that’s committed to putting children and families first.

• Position: Supporting Documentation Specialist
• Hours: Monday-Friday 8am-5pm
  • Hybrid

THE POSITION:

We are looking for a full time Supporting Documentation Specialist to join our exceptional customer service team who is committed to helping our patients thrive. Our Customer Service department is a fast-paced, high-energy environment and you’ll find yourself challenged and required to use critical thinking every day through a variety of in-person, email and phone conversations. You will also be surrounded by a close-knit and supportive group who all have the same dedication to serving medically complex children and their families.

• 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

THE 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

THE COMPANY

Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are age’s birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

BENEFITS:

• Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
• 401(k) Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
• Health and Dental insurance
• Short & Long Term Disability and Life Insurance

We look forward to learning more about you and the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance. #dme123