What are the responsibilities and job description for the Medical Documentation Review Specialist - position located in South Easton, MA position at Convatec Group PLC?
To provide administrative support to the teams by processing and evaluating medical record documentation against insurance guideline requirements needed to set up and maintain client accounts of 180 Medical.
- Review received documentation to determine insurance requirements are met.
- Communicate to applicable team members when documentation does or does not comply with insurance requirements
- Attend and participate in necessary training for continued education on documentation requirements
- Interpret reference material to make informed decisions regarding documentation requirements
- Cross flow pertinent information with applicable team members within the Organization
- Verify practitioner credentials and maintain these records within client accounts
- Maintain client document records within Medtrack, an internal database, to support client services and claim payment processes.
- Support Team Supervisor on miscellaneous projects
- Must have a high school diploma, college degree preferred, not required.
- Six months to one-year related experience and / or training; or equivalent combination of education and experience.
- Effective written and verbal communication
- Ability to work independently with applicable direction
- Strong attention to detail and accuracy in a fast-paced environment
- High level of comprehension and critical thinking with quick recall of review requirements
- Flexible and adaptable to change in environment and industry
- Work with integrity, upholding organizational values and Code of Ethics
- Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills
- Establish and maintain effective working relationships with internal customers including sales representatives and colleagues
- Sufficient understanding and ability to effectively operate a computer, navigate through software applications, and utilize various digital tools and resources
- Typing : 50 wpm (adjusted) highly recommended
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A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
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Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and / or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and / or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
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