Field Suspended Billing Representative Sr

Field Suspended Billing Representative Sr

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 .

• 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"".
• Coordinates and tracks timely retrieval of hand carry and forward to branch prescriptions and Certificates of Medical Necessity with the local sales team.
• Performs timely follow-up on renewal authorizations to maintain reimbursement activity.
• Contacts patient to gain involvement in problematic situations.
• Travels to Physician's office to assist with retrieval of outstanding Certificates of Medical Necessity and Prescriptions.
• 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.
• 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.

Qualifications:

• Education or experience equivalent to a high school diploma is required.
• At least three years related experience is required.
• Safe Driving Record and use of POV

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