Diagnosis Related Group (DRG) Coordinator jobs in Chico, CA

Description

Owens (A Friesen Group Company)

Owens provides state-of-the-art medical equipment and supplies to patients and caregivers throughout the North State. For more than 60 years, we've been providing custom healthcare solutions for patients and providers. We're committed to providing patients with the highest quality care, with a wide range of services, including CPAP/BiPAP, capnography, non-invasive ventilation, airway clearance, and specialty therapies.

Currently seeking a Full-Time Document Coordinator to help support our Operations team. Ideal candidate would be accountable, detailed oriented, have high standards in quality of work, works well in a team environment and values that align with the company.

Our Core Values at Owens are: HUMAN VALUE, TAKE OWNERSHIP, MAKE THE DIFFERENCE, SET THE PACE AND EMBRACE CHANGE.

CMN/PAR Processing

• Daily process authorizations and prescriptions (CMN’s/PAR’s) ensuring patient equipment and or supplies are billable.
• Work “Invoices on Hold” Ad hoc Report weekly.
• Work CMN Bin and log CMN’s within Brightree.
• Track unresolved issues until they become resolved (including any documentation necessary to bill).
• Document all conversations and correspondence with referral sources and patients as they occur.

CMN/PAR Review

• Review outstanding authorizations and prescriptions (CMN’s/PAR’s) with Supervisor weekly.
• Utilize Owens Sales Representatives to obtain outstanding CMN’s when necessary.
• Ensure the authorizations and prescriptions (CMN’s/PAR’s) are logged within 30 days of creation. If not, Supervisor is notified, and plan is created to address.

Brightree Task Review

• Work open tasks on a daily basis ensuring they are addressed in a timely manner.
• Ensure authorizations and prescriptions (CMN’s/PAR’s) and other required documentation is obtained in a timely manner.
• Review open tasks that are overdue with Supervisor weekly.
• Keep Supervisor apprized if you are unable to complete a task.

Policy & Procedures

• Help create and maintain Policy and Procedures as needed.

Other Responsibilities

• Answer phones in a timely manner, addressing customer concerns immediately.
• Write and speak in a clear, concise, professional manner in all forms of communication.
• Report all software and hardware (i.e. printers, fax machines, copy machine) issues to IT.
• Take initiative to obtain a basic understanding of insurance requirements for billing.
• Analyze daily routines and look for alternate methods of current processes to maximize efficiency.
• Other duties as assigned.

Requirements

Experience

• Preferred work experience in a medical setting.
• Preferred knowledge of HCPC codes.
• Preferred understanding of insurance authorizations and prescriptions.
• Preferred Durable Medical Equipment Billing experience. 

Education

• High school diploma or equivalent.

Special Skills

• Basic understanding in Microsoft Office (Excel, Work, Outlook).
• Excellent customer service and phone skills.