Ensures all necessary medical documents and patient accounts are consistent and complete. Specifically responsible for obtaining and maintaining proper Certificate of Medical Necessity (CMN) documents for new and existing diabetic patients. Effectively completes a variety of goal-oriented departmental tasks that will require adaptability, attention to detail and efficiency.

Essential Duties and Responsibilities

• Review all physician orders for processing
• Pursue all required medical documentation to permit timely billing of services
• Multiple outbound calls to physician offices to obtain verbal authorizations for supplies
• Receive inbound calls from physician offices and patients
• Achieve stated revenue goals and objectives as outlined by Team Leaders or department focus group
• Transfer patient calls to appropriate departments

Other Responsibilities

• Follows all Medicare, Medicaid and Private Insurance regulations and requirements
• Actively participates in Continuous Quality Improvement
• Demonstrates thoroughness with all work related activities; strives to continually improve quality and productivity results displayed by Patient Support personnel on an ongoing basis
• Assumes other duties and responsibilities as assigned by the Department Manager
• Maintains scheduling flexibility to ensure availability to meet the needs of the department for all hours of operation
• Abides by all policies, procedures, and protocols set forth within departmental, CCS Medical Personnel and Administrative Policy Manuals

Position Accountability

• Profits: Responsible for new patient sign-on, existing patient care, and verification of benefits
• Cost Control: Ensures effective documentation and adherence to Medicare and Private insurance guidelines to facilitate proper payment and reduce waste
• Quality Control: Ensures that company philosophies, policies, and procedures regarding patients, government agencies, and other vendors are maintained
• Confidentiality: Adheres to HIPAA guidelines, company privacy and confidentiality policies
• Customer Service: Ensures that patient relations are treated with the highest level of customer service, per company policies
• Compliance: Ensures effective documentation and adherence to Medicare and Private insurance guidelines
• Records: Responsible for maintaining accurate patient records

Responsibility

Reports to: Department Manager
Supervisory: None

Knowledge Skills and Abilities Required

• High School diploma or GED equivalent, and one year or more prior inbound call center experience and/or training, or equivalent combination of education and experience
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of the organization
• Ability to add, subtract, multiply and divide all units of measure, using whole numbers, common fractions and decimals
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations

Physical Requirements

Frequent: Speaking; hearing; sitting; use of hands/fingers; handling or feeling objects, tools or controls; close vision; color vision; peripheral vision; ability to adjust focus
Occasional: Standing; walking indoors; reaching with hands and arms; stooping; kneeling; crouching; crawling; lifting and/or move up to 10 lbs

Desired Key Competencies

• Must be flexible regarding work schedule. All positions require evening and weekend availability
  * Strong Multi-tasking skills
• Demonstrated skills working with Microsoft Office software programs and Lotus Notes
  * Attention to detail
• Ability to work independently
• Interpersonal relation skills
• Time Management

Work Environment

Moderate noise level similar to typical office environment with computers, printers and light traffic.

To apply for this position, please email or mail a cover letter and your resume to:

CCS Medical
Attn: Recruitment Department
14255 49th Street North
Suite 301
Clearwater, FL 33762

Fax: 727-507-2879
Voice: 727-507-2227
E-mail: recruiter@ccsmed.com