Nutrition Support Medical Doc Representative Job at Paragon Healthcare, Inc.
- Generates, and tracks required forms for the revenue cycle to ensure they are on file and current including, but not limited to, AOB, ABN (if necessary), SMN/CMN/DIF, when necessary.
- Documents all patient service activities in the electronic medical record using approved subject lines, assessments and note templates.
- Assists in effective communication between the patient and team members, to include documentation of patient needs, barriers to care, suggestions, and complaints.
- Maintains knowledge of payer source requirements and reimbursement guidelines for all PNC products.
- Completes daily follow ups using Notes Manager with a goal of zero remaining.
- Prioritizes responsibilities and workload based on provided reports to ensure revenue cycle concerns are addressed in a timely manner.
- Assists Billing team with obtaining clinical information as requested/necessary for revenue cycle purposes.
- Ensures proper documentation is present in the chart for reimbursement of EN.
- Monitors fax server/E signature platforms and assigns documents in electronic medical record appropriately.
- Generates and tracks the return of LON requests, LOAs, Tricare Waivers, Change of Provider forms, OON forms, CC auth forms and PCP referral (when necessary).
- Facilitates efficient return of correct orders, signed by Treating Practitioners.
- Communicates revenue cycle needs effectively and courteously with Treating Practitioner offices.
- Performs other duties and special projects as assigned
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