Ready to Bill Specialist
Generates, and tracks required forms for the revenue cycle to ensure they are on file and current including, but not limited to, AOB, ABN(if necessary), SMN/CMN/DIF, when necessary.
Documents all patient service activities in the electronic medical record using approved subject lines, assessments and note templates.
Assists in effective communication between the patient and team members, including documentation of patient needs, barriers to care,suggestions, and complaints.
Maintains knowledge of payer source requirements and reimbursement guidelines for all PNC products.
Completes daily follow ups using Notes Manager with a goal of zero remaining.
Prioritizes responsibilities and workload based on provided reports to ensure revenue cycle concerns are addressed in a timely manner.
Assists Billing team with obtaining clinical information as requested/necessary for revenue cycle purposes.
Ensures proper documentation is present in the chart for reimbursement of EN.
Monitors fax server/E signature platforms and assigns documents in electronic medical record appropriately.
Generates and tracks the return of LON requests, LOAs, Tricare Waivers, Change of Provider forms, OON forms, CC auth forms and PCPreferral (when necessary).
Facilitates efficient return of correct orders, signed by Treating Practitioners.
Communicates revenue cycle needs effectively and courteously with Treating Practitioner offices.
Performs other duties and special projects as assignedWORK STANDARDSUnderstands and adheres to all external accreditation review standards, applicable state, local and Federal laws and / or regulationsincluding maintaining patient confidentiality through abiding by HIPAA laws/regulations.
Understands and adheres to company policies and procedures.
Paragon Healthcare, Inc.
Revised August 2021 READY TO BILL SPECIALISTEstablishes and maintains positive working relationships with internal and external customers as well as all company employees.
Displays a neat, clean, and professional appearance at all times.
Meets expectations for customer/patient satisfaction and anticipates customer/patient needs.
Handles customer/patient complaints in a fair and empathetic manner.
Ability to work under strict guidelines, competing priorities, and immediate requests.
Always demonstrates courteous demeanor.
Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas.
Takes initiative to present ideas / suggestions to management utilizing proactive problem-solving approach.
Promotes PHI culture by providing quality, comprehensive services to all customers through a team approach.
CONTINUING EDUCATIONCompletes continuing education and training as assigned by supervisor.
TECHNICALAbility to learn and become competent with company used computer, telephone, and partner programs, where applicable (i.
e.
Office 365, CPR+,etc.
)Effective written and oral communication skills Recommended Skills Assessments Billing Communication Curiosity Microsoft Office Receptive Estimated Salary: $20 to $28 per hour based on qualifications.
Documents all patient service activities in the electronic medical record using approved subject lines, assessments and note templates.
Assists in effective communication between the patient and team members, including documentation of patient needs, barriers to care,suggestions, and complaints.
Maintains knowledge of payer source requirements and reimbursement guidelines for all PNC products.
Completes daily follow ups using Notes Manager with a goal of zero remaining.
Prioritizes responsibilities and workload based on provided reports to ensure revenue cycle concerns are addressed in a timely manner.
Assists Billing team with obtaining clinical information as requested/necessary for revenue cycle purposes.
Ensures proper documentation is present in the chart for reimbursement of EN.
Monitors fax server/E signature platforms and assigns documents in electronic medical record appropriately.
Generates and tracks the return of LON requests, LOAs, Tricare Waivers, Change of Provider forms, OON forms, CC auth forms and PCPreferral (when necessary).
Facilitates efficient return of correct orders, signed by Treating Practitioners.
Communicates revenue cycle needs effectively and courteously with Treating Practitioner offices.
Performs other duties and special projects as assignedWORK STANDARDSUnderstands and adheres to all external accreditation review standards, applicable state, local and Federal laws and / or regulationsincluding maintaining patient confidentiality through abiding by HIPAA laws/regulations.
Understands and adheres to company policies and procedures.
Paragon Healthcare, Inc.
Revised August 2021 READY TO BILL SPECIALISTEstablishes and maintains positive working relationships with internal and external customers as well as all company employees.
Displays a neat, clean, and professional appearance at all times.
Meets expectations for customer/patient satisfaction and anticipates customer/patient needs.
Handles customer/patient complaints in a fair and empathetic manner.
Ability to work under strict guidelines, competing priorities, and immediate requests.
Always demonstrates courteous demeanor.
Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas.
Takes initiative to present ideas / suggestions to management utilizing proactive problem-solving approach.
Promotes PHI culture by providing quality, comprehensive services to all customers through a team approach.
CONTINUING EDUCATIONCompletes continuing education and training as assigned by supervisor.
TECHNICALAbility to learn and become competent with company used computer, telephone, and partner programs, where applicable (i.
e.
Office 365, CPR+,etc.
)Effective written and oral communication skills Recommended Skills Assessments Billing Communication Curiosity Microsoft Office Receptive Estimated Salary: $20 to $28 per hour based on qualifications.
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