Suspended Billing Representative at Overland Park

Job 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.
• Performs timely follow-up on renewal authorizations to maintain reimbursement activity.
• Contacts patient to gain involvement in problematic situations.
• 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 through the use of the ENF process or other accepted method.
• 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.

Job Requirements

• Education or experience equivalent to a high school diploma is required.
• At least one year related experience is required.

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
Country: USA, State: Kansas, City: Overland Park, Company: Apria Healthcare.