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CW_Technical Specialist.IMS Ops
Ref No.: 18-04771
Location: Moon Township, Pennsylvania
Position Type:Contract
Start Date / End Date: 07/02/2018 to 01/31/2019
ESSENTIAL ACTIVITIES: 1. Contact (outbound phone calls) physician’s offices to check the status of outstanding forms (CMN, LMN, Medical Records) that are required before products can be shipped. 2. Generate documents to send to physicians and patients, resending existing documentation, and logging documentation. 3. Contact patients (outbound phone calls) to discuss Advanced Beneficiary Notice (ABN) requirements and to follow up on unsigned documents. 4. Create documents required based on payer guidelines and submit them to the designated physician. 5. Review medical records to determine if they meet the necessary criteria and log into the system. 6. Receive inbound call volume that can include patient questions, physician information updates, patient complaints, etc. 7. Identify incorrect patient information and work with the physician and patient to bring the problem to a resolution. 8. Handle questions coming from internal teams and sales, through phone and email, on order statuses 9. Communicate any ongoing documentation issues related to a physician or referral to the applicable sales representative. 10. Closely monitor and update the billing system – including the Patient, Doctor, Referral, Supporting Documentation and Billing Files. 11. Communicate any issues encountered during the documentation retrieval process to the Team Lead and/or Department Manager

Quals--
JOB TITLE: Senior Records Clerk EDUCATION: High School diploma required. Actively track and follow up on aging Certificates of Medical Necessity that are needed to be received by the business prior to shipping and billing. Document actions taken during the course of follow up on CMNs and any additional paperwork. Log signed and returned CMNs. Generating documentation, logging documentation and handling inbound phone calls are also important day to day responsibilities. ESSENTIAL ACTIVITIES: 1. Contact (outbound phone calls) physician’s offices to check the status of outstanding forms (CMN, LMN, Medical Records) that are required before products can be shipped. 2. Generate documents to send to physicians and patients, resending existing documentation, and logging documentation. 3. Contact patients (outbound phone calls) to discuss Advanced Beneficiary Notice (ABN) requirements and to follow up on unsigned documents. 4. Create documents required based on payer guidelines and submit them to the designated physician. 5. Review medical records to determine if they meet the necessary criteria and log into the system. 6. Receive inbound call volume that can include patient questions, physician information updates, patient complaints, etc. 7. Identify incorrect patient information and work with the physician and patient to bring the problem to a resolution. 8. Handle questions coming from internal teams and sales, through phone and email, on order statuses 9. Communicate any ongoing documentation issues related to a physician or referral to the applicable sales representative. 10. Closely monitor and update the billing system – including the Patient, Doctor, Referral, Supporting Documentation and Billing Files. 11. Communicate any issues encountered during the documentation retrieval process to the Team Lead and/or Department Manager