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Overview
Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.
As a Documentation Rep you’ll be at the heart of our customer service operations as you deliver first-class customer service in every interaction in our call center. You will collect, review and audit all new patient care records as assigned; including assisting others on the Team with administrative tasks. You will ensure all necessary medical documents and patient accounts are consistent and compete to protect billing integrity. You’ll be the one of our subject matter experts that will help us solve our patient’s challenges-and deliver on our promise of superior customer service.
Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, Wyoming; residents are not eligible.
Responsibilities
• Ensures all medical documents, patient accounts and files are updated, consistent and complete to support shipping and billing
• Obtains, reviews, maintains, medical records, and logs ABNs and PWOs into the patient account
• Validates PWOs match supplied orders including quantity, products, items, physician information, formulary requirements and manufacturer compatibility
• Handles inbound and outbound calls to physician’s offices and patients; Transfers patient calls to appropriate department
• Collects documents for PWO Hold accounts to allow shipment of future orders
• Audits configuration of supplies based on physician authorization
• Maintains advanced knowledge of specialty and ancillary products to answer patient questions and assist with accurately processing complex orders, including out-of-stock items, exchanges and returns
• Maintains a high degree of confidentiality always due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
Qualifications
• High School diploma and one year of medical documentation experience or equivalent combination of education and
• experience
• One to two years of customer service experience preferred
• Ability to deal courteously with internal and external customers in a fast-paced environment
• Ability to read and interpret documents such as Medicare/Medicaid regulations and insurance documents
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Ability to speak effectively to patients, health care providers and employees of the organization
• Ability to add, subtract, multiply and divide all units of measure
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
• Ability to adapt to a constantly changing environment
• Critial thinking and problem solving skills are essential
• Position may require evening and weekend availability
Values
Values
Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.
• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.
Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.
• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.
Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.
• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.
CCS Medical and EEOC/AA employer. M/F/D/V
