Lead Suspended Billing Representative - Salt Lake City, Utah - Full-time

Description

Apria Healthcare is one of the nation's leading providers of home respiratory services and certain medical equipment, including oxygen therapy, inhalation therapies, sleep apnea treatment and negative pressure wound therapy. Headquartered in Lake Forest, California, Apria owns and operates more than 400 locations throughout the United States and serves more than 1.2 million patients each year. Apria was the first such company to obtain voluntary accreditation from The Joint Commission and has been continuously accredited for more than 25 years. Additional company information can be found at www.apria.com .

• Processes, reviews and mails prescription and/or Certificates of Medical Necessity forms to physicians for signature.
• Researches diagnosis and insurance benefits to receive proper reimbursement.
• Assists in obtaining authorization for reimbursement for the most complex accounts.
• Evaluates all completed 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 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.
• Performs follow-up on the most complex outstanding prescriptions and generates renewal prescriptions in a timely manner through the use of suspended billing reports.
• Performs timely follow-up on renewal authorizations to maintain reimbursement activity.
• Contacts all Medicare and Medicaid patients to validate patient information and equipment usage.
• Contacts patient to gain involvement in problematic situations.
• Assigns, directs work and coaches staff.
• Schedules and organizes work assignments.
• Ensures work is performed accurately and efficiently.
• Provides input on performance appraisals and selection, promotion, merit increases and employee discipline.
• Typically oversees 2 - 4 nonexempt employees.
• Performs adjustments on accounts and recommends necessary changes to supervisor.
• Performs other related duties as directed by supervisor.

Qualifications

• High school diploma or GED is required.
• Minimum five years related experience is required.

Apria 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