Orders Resolution Specialist (Temporary)

Orders Resolution Specialist (Temp Position)

Location: San Diego

15- 20 Hours per week

Pay: $18 hourly

Position Summary: The Orders Resolution Specialist will play a crucial role in managing and resolving billing issues that may arise due to orders in the billing process. The ORS's primary responsibility will be to investigate, identify, and rectify discrepancies, errors, or obstacles that hinder the billing cycle, ensuring a smooth and efficient process from start to finish.

1. Receive, review, and process orders from physicians for home health services. Provide guidance and training to operations staff on proper documentation practices.
2. Ensure compliance with federal, state, and agency regulations and policies. Generate regular reporting detailing key billing metrics to Senior Management with analysis.
3. Communicate with physicians, nurses, patients, and other staff to coordinate care and resolve issues.
4. Maintain accurate and timely documentation of orders and patient records.
5. Monitor and track the status of orders and follow up as needed.
6. Act as point of contact for the billing resolution specialist to collectively work on billing holds related to orders.
7. Collaborate closely with internal teams, including authorization, intake, and eligibility to ensure billing processes are being followed.
8. Pro-actively identify opportunities to monitor billing workflows and prescribe improvements to processes.

Position Qualifications

1. High school diploma or equivalent.

2. Experience in home health, medical billing, or health care administration preferred.

3. Knowledge of home health regulations, coding, and reimbursement.

4. Proficient in computer skills, including Microsoft Office and electronic health records.

5. Excellent customer service, communication, and organizational skills.

6. Ability to work independently and as part of a team.

Skills Required

1. Ability to examine documents for accuracy and completeness as well as to keep paperwork organized and accessible.

2. Skillful in computer systems, applications, and a calculator.

3. Team-oriented, diplomatic, and persuasive communication skills.

4. Skill in reconciling system documents to source documents.

5. Ability to improve processes to incorporate maximum efficiency.

6. Skillful in multitasking and task prioritization.

Advanced Home Health & Hospice, an Excelin Company