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SalaryPOSITION SUMMARY:
The Clinical Documentation Specialist reports to the Sr. Manager of Clinical Documentation and provides administrative support for various projects.
What you'll do:
- Prints all necessary reports to aid in verifying the medical record complete for claims submission.
- Verifies insurance for individual patients.
- Monitors and reports any eligibility changes to the correct departments.
- Updates billing rules to the correct payer.
- Helps to review Clinical Documentation to verify that it meets billing requirements for specific insurances.
- Reach out to other members of the staff to obtain missing or corrected documents.
- Assists the billing department in any additional tasks.
- Performs other duties as assigned.
What you need:
- Associate’s degree
- Experience in an office setting
- Previous experience in an administrative support role
- Working knowledge of computer software (e.g. Microsoft Word, Microsoft Excel, etc.)
- Experience with Home Health Care billing processes (preferred)
- Experience with Medicare rules and regulations (preferred)
- Billing or coding certifications (preferred)
Competencies:
- Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
- Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
- Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
