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Home Services Documentation Specialist

Home Services Documentation Specialist

HARLAN APPALACHIAN REGIONAL HEALTHCAREHazard, KY, US
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Documentation Specialist

The Documentation Specialist assists in gathering necessary documentation for billing claims as well as working with insurance providers to obtain prior authorizations.

Responsibilities

  • Calling or faxing medical records along with prior authorization request to insurance companies.
  • Reviews patient chart documentation for documentation necessary to process claims.
  • Reviews reports frequently expiring authorizations or other documentation.
  • Assists in maintaining EMR with current documentation.
  • Assists in maintaining accurate information regarding payer documentation requirements.
  • Perform other related duties as assigned.
  • Responsible for obtaining and maintaining prior authorizations for care or services provided by the Division of Home Services
  • Responsible for assisting home health agencies and dme stores with maintaining necessary documentation to bill claims.
  • Responsible for assisting in maintenance of database of payer documentation requirements.

Qualifications

Education

  • High school diploma required.
  • Minimum Work Experience

  • Minimum 1 year as a clerk in healthcare field
  • Required Skills, Knowledge, and Abilities

  • Knowledge of Microsoft Excel, Word, and basic office machinery such as printer, copier, and fax machines required.
  • Prior experience in EMR's or medical documentation preferred.
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