What are the responsibilities and job description for the Charge Capture and Order Processing Specialist II position at North Coast Medical Supply LLC?
Description
About Our Company
Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don’t just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged! If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you’ve been looking for.
Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com
About The Position
Hours: 8:00 AM to 4:30 PM ET, Monday to Friday
Location: HYBRID in Doral, FL, 1st 90 days FULLY ONSITE for Training
The Charge Capture and Order Processing Specialist II takes on more complex charge capture tasks and assists in resolving discrepancies between documentation and charges. This position involves working closely with healthcare providers to ensure all services are properly documented and captured for billing.
Essential Functions
- Processes and validates more complex charges, ensuring accuracy and compliance.
- Resolves discrepancies between documentation and charges, collaborating with operations team to address issues.
- Assures accurate codes coincide with the charges of processing orders.
- Participates in audits and compliance reviews to ensure accurate charge capture.
- Maintains up-to-date knowledge of payer regulations and organizational policies.
- Reviews and validates charges for accuracy and completeness before submission.
- Ensures that all services are documented and captured in the patient’s medical record.
- Enters and verifies charges in the healthcare billing system.
- Collaborates with both internal and external operations team to make sure charges and codes match what has been authorized.
- Assists with routine audits to ensure compliance with regulatory and organizational standards.
- Maintains accurate records and documentation of all charge capture activities.
- Ensures timely submission and follow-up on exceptions and rejected work orders.
- Collaborates with the leads, supervisors, managers and operations team to ensure accuracy of information.
- Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
- Maintains accurate and detailed notes in the company system.
- Adapts quickly to frequent process changes and improvements.
- Is reliable, engaged, and provides feedback to improve processes and policies.
- Attends all department, team, and weekly company meetings as required.
- Appropriately routes incoming calls when necessary.
- Meets company quality standards.
- Embraces and exemplifies ADS core values:
- We put our people first.
- We serve our members with passion.
- We take ownership.
- We pursue excellence.
- We never stop growing.
Other Responsibilities
- May perform any additional responsibilities or special projects as required.
- Duties and responsibilities may be subject to change based upon the needs of the department.
Requirements
Minimum Requirements
- High School diploma or equivalent (GED)
- 1 year experience in order processing, or related field.
- Intermediate Knowledge of insurance, billing, and processing claims
- Intermediate knowledge of order management systems.; familiarity with a variety of medical and/or insurance terms or practices
- Proficiency in basic math and business calculations
- Working knowledge of computer/data entry with the ability to learn new systems
- Intermediate level of MS Office proficiency
Expected Competencies
- Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
- Proactive identification of challenges, and solution-oriented approach to problem solving.
- Service-orientation and aptitude to aptitude to resolve insurance and/or patient matters.
- Effective analytical skills: able to use inductive and deductive reasoning to anticipate outcomes.
- Self-directed accountability and reliability
- Effective communication, and interpersonal skills, with the ability to influence and collaborate effectively with cross-functional teams.
- Able to manage and prioritize multiple tasks/projects, work autonomously, and meet deadlines.
- Able to work well in a team environment that promotes inclusiveness and communication among team members.
- Communication using both verbal and written English proficiency.
- Cultural competence
Physical Demands
The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.
While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk, and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
Other Requirements
- Candidates must successfully pass a background check.
- Candidates must be able to provide proof of eligibility to work in the United States without sponsorship.
Pay Range and Compensation Package
Pay ranges may vary depending on location. Actual compensation depends on education, experience, and relevant skills.
In addition, benefits include:
- Health, Dental & Vision options
- FSA and HSA plan with Employer Contribution
- Employer paid EAP
- 401k with 4% Company Match
- Discretionary Profit-Sharing Plan
- Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
- On-Site Gym
- In-house Training Programs
- A fun culture in a fast-growing organization!
Equal Opportunity Statement
Advanced Diabetes Supply® provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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