Oxygen & Sleep Therapy Specialist

Genesis Primary Care PhysiciansZanesville, OH
4d

About The Position

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. Position Details: Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 0 Department: Genesis Oxygen & Sleep Therapy (GOST) Overview of Position: To fulfill Genesis’ mission of providing compassionate, quality healthcare for oxygen and sleep therapy in a courteous, professional, compassionate manner. To assist the customer by addressing questions regarding the safe use of oxygen and sleep therapy equipment and supplies. To interpret insurance guidelines and communicate the required elements of billing and financial responsibilities to the customer.

Requirements

  • High school graduate or equivalent required.
  • Must be able to proficiently operate an adding machine and cash register and be able to input and retrieve data from Genesis Oxygen & Sleep Therapy’s computer system.
  • Willing to be educated and become proficient in the sale of oxygen and sleep therapy supplies.

Nice To Haves

  • Minimum 6 years’ experience with oxygen and sleep therapy billing is desirable.

Responsibilities

  • Maintains a thorough knowledge of oxygen and sleep therapy products and billing requirements.
  • Acts as the front-line communication with our customers, referral sources and third-party payors to enhance positive outcomes by using the highest quality of customer service.
  • Appropriately obtains valid orders (Detailed Written Orders), Certificates of Medical Necessity, Face-To-Face chart notes and insurance prior authorizations before dispensing product. Completes orders from intake to confirmation for billing in a manner that is proficient.
  • Answers phones, takes referrals for equipment or supplies, verifies insurance coverage and performs data entry for billing purposes and ensures all documentation is in place prior to billing.
  • Prepares prior authorization paperwork as needed and in accordance with CMS, Federal, State and insurance company policies.
  • Balances the cash register and prepares daily deposit.
  • Completes proper paperwork and is proficient and accountable in all processes of data entry.
  • Completes orders from intake, completes confirmations and inputs billing charges in a proficient manner.
  • Handles point-of-sale procedures, for example, collection of copays.
  • Responsible for timely handling of all phone calls, faxes and electronically submitted orders.
  • Follows up on insurance denials and unreasonable reductions in allowed charges.
  • Collects past due balances from insurance companies as well as patients.
  • Compiles needed reports for tracking of any and all types of accounts to support department manager.
  • Serves as a mentor to new employees and provides training and guidance of less experienced associates.
  • Reports directly to Store Manager/Supervisor all issues/obstacles/patterns affecting the billing/collections/Aging.
  • Retrieves information from the EPIC system (hospital-based electronic medical records).
  • Promotes and drives continuous quality improvement initiatives.
  • Documents customer complaints and completes the follow-up process for quality customer service efforts.
  • Completes all required educational in-services and CBL’s. (Computer Based Learning)
  • Completes other duties assigned by Store Manager or Director of Genesis Pharmacies and Genesis Oxygen & Sleep Therapy.
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