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Job Details

Medicare Document Specialist- St. Paul MN -Hybrid Model: 8 am - 4:30 pm CST work in office Tues amp Thurs. Take advantage to work from home with hybrid model Monday Wednesday Friday

Company name
Hillrom Services Inc.

Location
Saint Paul, MN, United States

Employment Type
Full-Time

Industry
Work At Home

Posted on
Nov 23, 2021

Valid Through
Mar 08, 2022

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Medicare Document Specialist- St. Paul MN -Hybrid Model: 8 am - 4:30 pm CST; work in office Tues & Thurs. Take advantage to work from home with hybrid model Monday, Wednesday, Friday','21125910','!*!Hillrom is a $2.9B global medical technology company with more than 10,000 employees worldwide.  Every day, around the world, we enhance outcomes for patients and their caregivers.  Our vision is all about Advancing Connecting Care from the doctor’s office, to the hospital, or the comfort of home.  We focus on solutions that improve clinical and economic outcomes in five core areas: accelerating patient recovery, simplifying clinical communication and collaboration, enabling earlier diagnosis and treatment, optimizing surgical efficiency and safety, and shifting care closer to home.

 Five values are the foundation of our corporate culture guiding us to enhance outcomes for patients and caregivers. Our values are Respect, Responsiveness, Results, Integrity and Fun; and are grounded in our six commitments: Patients and Caregivers are our Passion; Quality Matters in All We Do; Financial Discipline Drives Value; Innovation Fuels Our Growth; Continuous Innovation Creates Simplicity; and People Inspired to Win Together.  These drivers guide Hillrom employees who play a critical role within the organization to drive and achieve our goals.  ','!*!One of Hillrom’s values is fun.  That shows up in many ways throughout the year.  You can enjoy summer hours in June, July and August with paid Friday afternoons off! Or put your passion in volunteering during the month October when we offer one half day of paid time off through Hillrom For Humanity. These are just a few examples of what makes Hillrom special.

 Employee Resource Groups (ERG) are essential components of Hillrom’s commitment to drive inclusion to unify who we are and our purpose. They allow us to capitalize on the resources of Hillrom employees and support Hillrom’s commitment to Diversity, Equity, Inclusion, & Belonging. Our 7 ERGs foster an environment of belonging where all our voices matter. 

 True innovation is driven by the convergence of many opinions, skill sets, and life experience which is why Diversity, Equity, Inclusion and Belonging isn’t just good for society it’s good business.  Hillrom is focused on building a workforce that represents our customers and our world while ensuring that all associates feels like they truly belong.  We continue to evaluate progress in several areas of hiring, retaining talent from underrepresented groups which include ethnic minorities, Women, Veterans, Individuals with Disabilities and the LGBTQIA. Our commitment to Diversity, Inclusion and Belonging is part of our fabric. 

 The Medicare Documentation Specialist is responsible for requesting/managing supporting documentation and information required for claims submission and reimbursement for Medicare and other federal insurance. This role regularly interacts with patients, prescribers and their healthcare teams and will be required to build and maintain a professional relationship with these key customers. The Documentation Specialist plays a vital role in ensuring all payer rules and requirements are met and uphold Hillrom Respiratory Health high standard for Compliance

LOCATION:  Must be located within reasonable commute of St. Paul MN office.

HOURS: Hybrid Model:  Regular Work Hours are between 7:30 - 5:30 PM  You may work in office Tues & Thurs and  take advantage of work from home with hybrid model Monday, Wednesday, Friday.  Training Hours:  8 am - 4:30 pm CST

THE ROLE: 

Documentation of Medical Necessity

Manage retrieval of medically necessary documentation including updated prescriptions, statements of medical necessity, medical records information, and other diagnostic reports from healthcare customers

Analyze documentation received to ensure medical requests are fulfilled

Resolve issues with any outstanding documentation requests defined as overdue. Solicit assistance of relevant stakeholders to initiate action plans necessary for retrieval

Review pertinent reports available to assist with management of administrative items and utilize for prioritization of workload

Educate healthcare accounts about documentation requests and the corresponding processes and regulations required by Medicare and other payers

Educate healthcare customer and employees on payer specific criteria

Assist with new employees and provide refresher training as needed

Participate in regional conference calls and regional meetings, as assigned

Communicate regularly with assigned field team regarding customer concerns or other escalated issues

Research and Monitor Payer Requirements

Identify payer issues/trends and communicate payer updates to management as necessary

Ensure compliance with all payer rules and requirements

Develop and maintain relationships with internal and external stakeholders

Verification of Benefits

Verify eligibility and benefits of plan coverage and process for payer, as necessary

Discuss Medicare or other relevant payer policies and limitations with Health Care Team

','!*!EDUCATION, EXPERIENCE AND QUALIFICATIONS:

High School diploma, required.

Experience working in an office environment, preferred.

Knowledge of medical terminology, helpful

Associates degree or higher degree, preferred

3 years industry experience (3rd party payers or DME provider experience), preferred  

Medicare experience strongly preferred

Strong critical thinking and problem- solving skills

Exceptional written, verbal, and interpersonal communications

Excellent attention to detail

Ability to work independently and manage moderate to heavy workload

Proficient with Microsoft Office Software including Word and Outlook

 

','!*!Hillrom is an equal employment employer F/M/Disability/Vet/Sexual Orientation/Gender Identity   

In accordance with Executive Order 14042, dated September 9, 2021, Hillrom requires proof of COVID-19 vaccination as a condition of employment.

#INDHR    #LI-REMOTE','Finance','United States-Minnesota-St. Paul','','Full-time','No','Hillrom','Hillrom','Medicare Document Specialist- St. Paul MN -Hybrid Model: 8 am - 4:30 pm CST; work in office Tues & Thurs. Take advantage to work from home with hybrid model Monday, Wednesday, Friday

Company info

Hillrom Services Inc.
Website : https://hillrom.com/

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