Pediatric Documentation & Compliance Specialist

Pediatric Home Service, Inc.; Roseville (MN); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Generous PTO

401(k) Matching

Tuition Reimbursement

Professional Development

Supportive work environment

Job summary

Pediatric Home Service, Inc. in Minnesota is seeking a full-time Supporting Documentation Specialist to join our customer service team. You will handle in-person, email and phone conversations to obtain and verify documentation while ensuring patients receive timely care.

The role emphasizes accuracy, HIPAA compliance and cross-team collaboration with Admissions, referrals and providers, with a hybrid work model after training.

Qualifications

• DME intake/admissions experience preferred.
• Excellent organization, multitasking and communication skills.
• Experience with Brightree EHR is a plus.
• Experience obtaining Title 19 with health care providers.

Responsibilities

• Obtain prior authorizations, statements of medical necessity, and other required documentation.
• Communicate with physician offices and providers to request missing or updated documentation.
• Review documentation for accuracy, completeness and regulatory compliance.
• Maintain accurate and up-to-date patient records.
• Support patient supply and service orders by ensuring required documentation is received and complete.
• Collaborate with Admissions, referrals, Customer Service and other teams to move orders forward.
• Follow up on outstanding documentation and resolve barriers or delays.
• Maintain confidentiality of patient information and follow HIPAA requirements.
• Provide a positive experience for patients, families, providers, and referral partners.

Skills

DME intake/admissions experience

Highly organized

Multi-tasking

Strong communication

Customer service mindset

Proficient keyboard skills

HIPAA awareness

Tools

Brightree EHR

Job description

Pediatric Home Service, Inc. in Minnesota is seeking a full-time Supporting Documentation Specialist to join our customer service team. You will handle in-person, email and phone conversations to obtain and verify documentation while ensuring patients receive timely care.

The role emphasizes accuracy, HIPAA compliance and cross-team collaboration with Admissions, referrals and providers, with a hybrid work model after training.