Revenue Cycle Documentation Specialist - GMS

Revenue Cycle Documentation Specialist

Remote – Columbus, OH

Here at Pain Management Group, we’re searching for a full-time Revenue Cycle Documentation Specialist to remotely join our team from Columbus, Ohio! This position will be the expert resource for our PMG and partner clinic teams regarding prior authorizations, coding, LCD’s and medical record documentation. This position will work with our teams, including directly with providers, to educate and promptly address prior authorization and coding questions and concerns, and ensure data is submitted timely and documentation is adequate and accurate across our partner sites. This position will also serve as a liaison between PMG and our professional billing services partner.

What we can offer YOU:

• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Disability insurance
• Pay: $60,000 – $70,000/year, offer dependent on experience

Schedule:

• Monday to Friday
• Remote
• Minimal travel required. Some out-of-the-area and overnight travel may be expected.

What are we looking for?

• Associateor bachelor’s degree from an accredited school of nursing, Health Information Management, and/or medicine or healthcare undergraduate degree required
• In lieuof bachelor’s degree, five years of healthcare experience including two years in a revenue cycle related area such as registration, revenue cycle management, or patient financial services
• Knowledgeof pain specific LCD’s, CPT’s and ICD-10 coding
• Proactive leader with excellent communication skills and strong initiative
• Ability to independently operate at a high level without direct oversight
• Proficiency in Microsoft office applications as well as medical office software
• Excellent verbal and written communication skills

Typical day in the life as a Revenue Cycle Documentation Specialist:

• Understand the front-end revenue cycle key components at each facility including the pre-authorization process and patient access issues
• Serve as the liaison between PMG, our professional billing service partner, and our partner programs to help answer questions and provide education around prior authorizations, charge capture, and coding
• Work closely with PMG’s Quality Team to determine any provider documentation/CPT usage issues and help coordinate provider education
• Ensure appropriate denial management tools are in place for partner pain management centers and providers
• Assist with the revenue cycle portion of new hospital partner implementation
• Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
• Coordinate with clinic teams to obtain medical records support for insurance companies as needed/requested
• Communicates with other prior authorization/coding specialists, patient account representatives and coders to continually monitor changes in the health insurance arena
• Responds to all requests with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines

If you feel as though you would make a great fit for this position, please submit a current resume for review!