Oxygen & Sleep Therapy Specialist

Job Title

Genesis Healthcare System

Position Details

Work Shift: Day Shift (United States of America)

Scheduled Weekly Hours: 32

Department: Genesis Oxygen & Sleep Therapy (GOST)

Overview of Position

To fulfill Genesis' mission of providing compassionate, quality healthcare for oxygen and sleep therapy in a courteous, professional, compassionate manner. To assist the customer by addressing questions regarding the safe use of oxygen and sleep therapy equipment and supplies. To interpret insurance guidelines and communicate the required elements of billing and financial responsibilities to the customer.

Essential Duties

1. Maintains a thorough knowledge of oxygen and sleep therapy products and billing requirements.

2. Acts as the front-line communication with our customers, referral sources and third-party payors to enhance positive outcomes by using the highest quality of customer service.

3. Appropriately obtains valid orders (Detailed Written Orders), Certificates of Medical Necessity, Face-To-Face chart notes and insurance prior authorizations before dispensing product. Completes orders from intake to confirmation for billing in a manner that is proficient.

4. Answers phones, takes referrals for equipment or supplies, verifies insurance coverage and performs data entry for billing purposes and ensures all documentation is in place prior to billing.

5. Prepares prior authorization paperwork as needed and in accordance with CMS, Federal, State and insurance company policies.

6. Balances the cash register and prepares daily deposit.

7. Completes proper paperwork and is proficient and accountable in all processes of data entry.

8. Completes orders from intake, completes confirmations and inputs billing charges in a proficient manner.

9. Handles point-of-sale procedures, for example, collection of copays.

10. Responsible for timely handling of all phone calls, faxes and electronically submitted orders.

11. Follows up on insurance denials and unreasonable reductions in allowed charges.

12. Collects past due balances from insurance companies as well as patients.

13. Compiles needed reports for tracking of any and all types of accounts to support department manager.

14. Serves as a mentor to new employees and provides training and guidance of less experienced associates.

15. Reports directly to Store Manager/Supervisor all issues/obstacles/patterns affecting the billing/collections/Aging.

16. Retrieves information from the EPIC system (hospital-based electronic medical records).

17. Promotes and drives continuous quality improvement initiatives.

18. Documents customer complaints and completes the follow-up process for quality customer service efforts.

19. Completes all required educational in-services and CBL's. (Computer Based Learning)

20. Completes other duties assigned by Store Manager or Director of Genesis Pharmacies and Genesis Oxygen & Sleep Therapy.

Qualifications

High school graduate or equivalent required. Must be able to proficiently operate an adding machine and cash register and be able to input and retrieve data from Genesis Oxygen & Sleep Therapy's computer system. Willing to be educated and become proficient in the sale of oxygen and sleep therapy supplies. Minimum 6 years' experience with oxygen and sleep therapy billing is desirable.

Patient Centered Care and Behavior Expectations

1. Living the Genesis Mission, Vision and Values:

Performs work in a manner that is quality focused.

Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.

Results oriented and focused on achievement of objectives.

Acknowledges and responds to the diversity of people and the situation.

Encourages peers (others) to be owners of change.

Always makes the effort to anticipate and exceed customer needs and expectations.

Possesses the ability to engage others with patience and understanding.

Acts in a manner that creates positive first and lasting impressions.

Demonstrates the ability to own issues until they are resolved.

2. Patient Centered Care for (Patients, Families, Physicians, Co-workers, and all internal/external customers):

Introduces self and roleconnects with everyone.

Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.

Asks for and anticipates needs and concerns of others.

Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)

Maintains the dignity and privacy of each person managing confidential/sensitive information appropriately.

Responds to requests in an appropriate and timely manner.

Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.

3. Promotes Patient and Employee Safety

Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.)

Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)

Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment

Demonstrates Slips/Trips and Falls Awareness

Actively contributes to maintaining a safe, clean and quiet environment

Working Conditions/Physical Requirements

The physical demands described here 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 individuals with disabilities to perform the essential functions.

1. Works in a retail environment.

2. Must regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and often lift or move up to 50 pounds.

3. Vision abilities require up-close vision, peripheral vision, depth perception and the ability to adjust focus.

4. Individual bends, reaches, pushes and pulls file drawers to file records and reports.

5. Answers phone calls, uses computer and other business machines extensively which requires the ability to apply finger dexterity.

6. May be required to periodically rotate shifts and regular days off. All system employees must be willing to work all shifts, extra hours, holidays and emergency shifts as required.

This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.