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SalaryMEDICAL SERVICE COMPANY is a family owned and operated durable medical equipment and respiratory provider that's been in business for 70+ years!
MSC is a 12-Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work - 2023!
MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.
In Addition, we are very proud to share that we have been awarded the distinguished honor of
2021 - HME Provider of the Year!
We are hiring: FULL TIME WITH BENEFITS! APPLY TODAY!
- Competitive Pay
- Advancement Opportunities
- Medical, Dental & Vision Insurance
- HSA Account w/Company Contribution
- Pet Insurance
- Company provided Life and AD&D insurance
- Short-Term and Long-Term Disability
- Tuition Reimbursement Program
- Employee Assistance Program (EAP)
- Employee Referral Bonus Program
- 401k (with a matching program) / Roth IRA
- Company Discounts
- PayActive/On-Demand Pay
- Paid vacation, Sick Days, You Days and Holidays
Starting no less than $16.50
Responsibilities and Duties:
- Retrieve and collect necessary Medical Documentation from healthcare providers, ensuring completeness and accuracy.
- Establish and maintain effective communication with healthcare professionals, physicians, and other stakeholders to request and obtain required medical records.
- Verify that obtained Medical Documentation meets regulatory and compliance standards. Ensure adherence to legal and ethical standards in handling sensitive medical information.
- Effectively maintain medical records in the database, ensuring legibility and accurate placement within the relevant documentation section of the patient's account.
- Collaborate with the DME team to understand specific documentation requirements for various equipment and ensure alignment with patient needs.
- Manages all stopped orders for multiple price option needing additional documentation to continue billing
- Manages all stopped orders related to out of network insurance plans.
- Navigate the prior authorization process by liaising with healthcare providers, payers, and other stakeholders to secure necessary approvals for DME services.
- Initiates authorization requests with insurance companies and government payers.
- Monitors outstanding prior authorization requests and initiates follow up of authorizations in a timely manner.
- Manages phone calls related to the above responsible areas.
- Conduct quality assurance checks on Medical Documentation to identify discrepancies or missing information and take appropriate steps to rectify.
- Stay informed about updates in Medical Documentation standards, regulations, and DME practices. Provide training and education to staff on documentation requirements.
- Other duties as assigned.
Qualifications:
Education: Graduate of an accredited high school or GED equivalent.
Experience/Knowledge/Skills/Physical Requirements:
- Experience in Prior Authorizations, Medical Documentation retrieval and management is preferred.
- Knowledge of HIPAA regulations and other relevant healthcare compliance standards.
- Excellent communication and interpersonal skills.
- Strong organizational and multitasking abilities.
- Detail-oriented with a high level of accuracy in handling medical records.
- Proficiency in relevant software applications for documentation management.
- Starting hourly wage no less than $16.50
