Field Suspended Billing Representative
Apria Healthcare - Redmond, WA

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018678

Description

Apria Healthcare is the largest provider of home healthcare products and services in the United States, offering a comprehensive range of home respiratory therapy, home infusion therapy and home medical equipment services to over 2 million patients annually in all 50 states through approximately 550 locations. We are committed to full-service homecare solutions that give maximum independence to our patients. Please visit our website at

www.apria.com

.

Performs follow-up on outstanding Certificates of Medical Necessity (CMNs), prescriptions and processes renewal CMNs/prescriptions through the use of suspended billing reports.

Maintains and monitors follow up system to confirm that action takes place per Apria "best practices".

Coordinates and tracks timely retrieval of hand carry and forward to branch prescriptions and Certificates of Medical Necessity with the local sales team.

Performs timely follow-up on renewal authorizations to maintain reimbursement activity.

Contacts patient to gain involvement in problematic situations.

Travels to Physician's office to assist with retrieval of outstanding Certificates of Medical Necessity and Prescriptions.

Elevates aged prescriptions to manager for decision and resolution.

Evaluates all completed CMNs/prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations.

Enters CMNs/prescription information into computer once the prescriptions are completed and returned from the physicians.

Documents all account activity on system. May perform internal quality audits to ensure that all necessary documentation is included in each patient file.

Processes, reviews and mails prescription and/or CMNs to physicians for signature.

Provides feedback on errors identified to the appropriate supervisor.

Researches diagnosis and insurance benefits to receive proper reimbursement.

Assists in obtaining authorization for reimbursement for some accounts.

Requests adjustments on accounts and recommends necessary changes to supervisor.

Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".

Performs other related duties as directed by supervisor.

Qualifications

Education or experience equivalent to a high school diploma is required.

At least three years related experience is required.

Safe Driving Record and use of POV

Apria Healthcare

(or Coram Healthcare

) is an equal opportunity employer. All employment decisions are made without regard to race, color, age, gender, gender identity or expression, sexual orientation, marital status, pregnancy, religion, citizenship, national origin/ancestry, physical/mental disabilities, military status or any other basis prohibited by law.

Because Apria believes in providing a safe work environment, we conduct drug and background checks in our recruiting/hiring processes. AA/EOE, M/F/D/V

Job

Billing and Collections

Primary Location

WA-Redmond

Schedule

Full-time

Apria Healthcare - 2 years ago - save job - copy to clipboard
About this company
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As the nation’s largest provider of home healthcare products and services, Apria helps thousands of Americans live healthier and feel...