Billing Representative

Job Title: Billing Representative

Duration: 3 Months(temp to perm) (direct offer)

Location: Eden Prairie, MN

Job Description:

• Performs follow-up on outstanding Certificates of Medical Necessity (CMNs), prescriptions and processes renewal CMNs/prescriptions through the use of suspended billing reports. Maintains and monitors follow up system to confirm that action takes place per Apria "best practices".

• Performs timely follow-up on renewal authorizations to maintain reimbursement activity.

• Contacts patient to gain involvement in problematic situations.

• Elevates aged prescriptions to manager for decision and resolution.

• Evaluates all completed CMNs/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 CMNs/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.

• Processes, reviews and mails prescription and/or CMNs to physicians for signature.

• Provides feedback on errors identified to the appropriate supervisor through the use of the ENF process or other accepted method.

• Researches diagnosis and insurance benefits to receive proper reimbursement.

• Assists in obtaining authorization for reimbursement for some accounts.

• Requests adjustments on accounts and recommends necessary changes to supervisor.

• Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".

• Performs other related duties as directed by supervisor.

Himanshu Ojha

6096518972