What are the responsibilities and job description for the Home Services Documentation Specialist position at Appalachian Regional Healthcare, Inc.?
Overview
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.
