Home Services Documentation Specialist

Documentation Specialist

The Documentation Specialist assists in gathering necessary documentation for billing claims as well as working with insurance providers to obtain prior authorizations.

Responsibilities

• Calling or faxing medical records along with prior authorization request to insurance companies.
• Reviews patient chart documentation for documentation necessary to process claims.
• Reviews reports frequently expiring authorizations or other documentation.
• Assists in maintaining EMR with current documentation.
• Assists in maintaining accurate information regarding payer documentation requirements.
• Perform other related duties as assigned.
• Responsible for obtaining and maintaining prior authorizations for care or services provided by the Division of Home Services
• Responsible for assisting home health agencies and dme stores with maintaining necessary documentation to bill claims.
• Responsible for assisting in maintenance of database of payer documentation requirements.

Qualifications

Education

Minimum Work Experience

Required Skills, Knowledge, and Abilities