Apria Lead Suspended Billing Representative - Telecommuter in Kansas
Title: Lead Suspended Billing Representative - Telecommuter
Job Number: 044973
Apria Healthcare is one of nation’s leading providers of home healthcare products and services including respiratory therapy, sleep apnea therapy, non-invasive ventilation therapy, enteral nutrition therapy, negative pressure wound therapy and home medical equipment. Headquartered in Lake Forest, California, Apria owns and operates branch locations across the nation and serves more than 1.8 million patients each year. With over $1 Billion in annual revenues, Apria is one of the largest home healthcare companies in the United States. Apria was the first company of its type to obtain voluntary accreditation from The Joint Commission and has been continuously accredited for more than 25 years. For more information, visit
Processes, reviews and mails prescription and/or Certificates of Medical Necessity forms to physicians for signature.
Researches diagnosis and insurance benefits to receive proper reimbursement.
Assists in obtaining authorization for reimbursement for the most complex accounts.
Evaluates all completed prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations.
Enters prescription information into computer once the prescriptions are completed and returned from the physicians.
Documents all account activity on system.
May perform internal quality audits to ensure that all necessary documentation is included in each patient file.
Performs follow-up on the most complex outstanding prescriptions and generates renewal prescriptions in a timely manner through the use of suspended billing reports.
Performs timely follow-up on renewal authorizations to maintain reimbursement activity.
Contacts all Medicare and Medicaid patients to validate patient information and equipment usage.
Contacts patient to gain involvement in problematic situations.
Assigns, directs work and coaches staff.
Schedules and organizes work assignments.
Ensures work is performed accurately and efficiently.
Provides input on performance appraisals and selection, promotion, merit increases and employee discipline.
Typically oversees 2 - 4 nonexempt employees.
Performs adjustments on accounts and recommends necessary changes to supervisor.
Performs other related duties as directed by supervisor.
High school diploma or GED is required.
Minimum five years related experience is required.
As an EOE/AA employer, Apria Healthcare is committed to providing all applicants and employees with equal access to employment opportunities, regardless of sex, race, age, color, national origin, disability, pregnancy, religion, genetic information, sexual orientation, transgender status, gender identity, marital status, veteran status, or any other characteristic protected by federal, state, or local law.
Apria Healthcare shall abide by the requirements of 41 CFR 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans and individuals with disabilities. AA/EOE, M/F/Disability and Vet
Job: Revenue Management