Medical Documentation Specialist
Summary
Processes and manages Certificates of Medical Necessity (CMNs) for a home medical equipment (HME/DME) provider — reviewing prescriptions, completing daily worklist follow-ups, handling renewals, obtaining documentation, and resolving held revenue to release claims on time. Full-time hybrid: in-office Tue–Thu, remote other days.
At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).
MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!
MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.
In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!
Join Our Team!
We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!
Apply today to become a part of our dynamic team!
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Competitive Pay
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Advancement Opportunities
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Medical, Dental & Vision Insurance
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HSA Account w/Company Contribution
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Pet Insurance
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Company provided Life and AD&D insurance
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Short-Term and Long-Term Disability
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Tuition Reimbursement Program
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Employee Assistance Program (EAP)
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Employee Referral Bonus Program
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Social Recognition Program
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Employee Engagement Opportunities
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CALM App
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401k (with a matching program) / Roth IRA
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Company Discounts
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Payactiv/On-Demand Pay
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Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays
CMN Specialists: As part of the CMN team, participates in monitoring and improving processes relative to the quality, appropriateness, and timeliness of the reimbursement information requirements of our order processing activities.
Responsibilities and Duties:
- Review initial prescription for qualifying elements resulting in timely release of claims.
- Complete daily follow up processes on all CMNs assigned within the WIP states/RC worklist.
- Review possible renewal CMNs within the CMN review worklist.
- Manages the CMN renewal process and obtains all necessary documentation.
- Responsible for handling all outstanding held revenue related to CMNs for branches assigned.
- Manages phone calls related to CMNs.
- Other duties as assigned.
Qualifications:
Education: Graduate of an accredited high school or GED equivalent.
Experience/Knowledge/Skills/Physical Requirements:
- Ability to multi-task in a fast-paced environment
- Detail and team oriented
- Effective communication (verbal and written) and organizational skills
- Proven computer proficiency, the use of multiple applications simultaneously
- Knowledge of the HME/DME industry is preferred