Patient Service Representative - Pediatric Home Service

Pediatric Home Service, is a friendly and professional leader in home health industry with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work.

• Position: Patient Service Representative
• Location: Waco, TX
• Hours: Monday-Friday, 8a-5p (Hybrid)

THE POSITION:

The Patient Service Representative has the primary responsibility of handling customer contact received in person, over the telephone, by fax, or via the web. These customer contacts may be with the patient, a caregiver, or a referral source (physician, therapist, home health agency, etc.). They are to receive, qualify, and process all customer orders in a timely, efficient, accurate, and courteous manner. They often are involved in investigating and responding to customer inquiries regarding shipments, products, deliveries and complaints. This employee also assists in the entire supply billing and collection cycle as directed by management.

• Obtaining prior authorizations and statements of medical necessity
• Maintaining of patient records
• Patient supply & service orders
• Collaborate with referrals to create and streamline supporting documentation
• Ensure accuracy of supporting documentation to meet compliance and regulatory requirements
• Perform verification of insurance.
• Accurately and efficiently create the required funding and delivery documents.
• Verify Medicare, Medicaid, and Insurance coverage as required, with both primary and secondary payers.
• Ensure competence in all aspects of provider’s payment policies. Access information on medical justification and revenue qualification to maximize reimbursement rates. Communicate payer guidelines clearly to all staff impacted.

REQUIREMENTS

• Knowledge of Medicare, Medicaid and private medical billing.
• 2 years of education or experience is preferred but not required.
• Previous experience in DME or home health preferred.

THE COMPANY

Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile. Our services allow our clients to remain and thrive in their homes, schools, and communities.

THE BENEFITS

• Holiday Pay
• Paid Time Off
• Health and Dental insurance
• Short & Long-Term Disability and Life Insurance
• 401K with match & educational benefits

Interested candidates should apply online at http://www.phscareers.com.

We look forward to learning more about you and the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.