UnityPoint Health Documentation & Review Specialist in Urbandale, Iowa

Unity Point at Home

Documentation and Review Specialist

Monday- Friday, 8a-5p

Full-Time, 40 Hours/ Week

Reviews all paperwork and patient accounts for accuracy in billing and rental equipment on an ongoing basis and

functions as a quality assurance resource to Home Medical Equipment Department. Reviews and manages all necessary

documentation needed for billing equipment/supplies to insurance.

  • Responsible for looking at the individual needs of each patient/customer and matching those needs to the many services UnityPoint at Home has to offer; utilizing other members of the home care coordination team as necessary to coordinate services outside of the specialized service line.

  • Processes all incoming work orders, interviewing client/referral source to secure demographic and financial and qualifying data, and securing verification and authorization of benefits as appropriate.

  • Specializes in one or more of the agency’s service lines, yet is responsible for having a basic knowledge of all service lines.

  • Directs inquiries and referrals to the appropriate individual and/or service line. Coordinates incoming calls from both referral sources and patient/customers.

  • Initiates and coordinates prior authorization requests to third party payers and maintains a working knowledge of third party payer guidelines. Follows up with third party payers as necessary.

  • Operates computer system to record/document and retrieve information to ensure appropriate agency services are provided in a timely manner.

  • Establishes and maintains positive working relationships with current and potential customers and referral sources.

  • Builds and monitors community and customer/referral source expectations and perceptions of UPAH as a high quality provider of services; maintaining excellent customer service.

  • Assists other Intake/Home Care Coordinators as directed by the Intake/Home Care Coordination Manager.

  • Maintains a working knowledge of relevant regulations affecting patients and the operation of our business.

  • Performs patient follow up phone calls as directed by manager.

  • Performs other duties specific to some service lines.

  • Maintains regular and consistent attendance at work.

  • Behaves in a manner consistent with company mission, vision and value statements.

  • Maintains compliance with OSHA, accreditation standards and risk management guidelines.

  • Maintains compliance with personnel policies and procedures.

  • Behaves in a manner consistent with all corporate compliance policies and procedures.

  • Performs other duties as requested by Intake/Home Care Coordination Manager to facilitate the smooth and effective operations of the organization.

  • Meets measures as determined and required for job productivity and performance improvement.

  • Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephone messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.

  • Occasional after hours

QUALIFICATIONS REQUIRED:

  • Strong interpersonal skills.

  • Strong problem solving skills with previous customer service experience.

  • Basic knowledge of computer applications (i.e. Word, Excel) and operations.

  • Ability to work as a collaborative team member.

  • Ability to understand and apply guidelines, policies and procedures.

QUALIFICATION PREFERRED:

  • Knowledge of medical terminology, anatomy and physiology.

  • Knowledge of medical billing and collection practices.

  • One year of medical experience; preferably in community home health or home medical equipment.

Requisition ID: 2019-58083

Street: 11333 Aurora Ave

Name: 9400 UnityPoint at Home Affiliate

Name: Operations- HME- DM

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Non-Exempt

External Company Name: UnityPoint Health

External Company URL: http://www.unitypoint.org

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