Retro Certification Specialist - The Outsource Group (Casselberry, FL)

Company Description Unlike other types of Accounts Receivable, healthcare A/R is unique, requiring an understanding of billing complexity, patient sensitivity, coordination of benefits, and knowledge of hospital revenue cycle processes, systems and payer requirements. Our approach to revenue cycle management, our level of professional staffing, and our service lines reflect that understanding. We Are National in Scope With A Local Presence Job Description Job Description Job Title: Retro Cert Specialist Date: 06/20/2013 Reports To: Project Director FLSA: Exempt Department: Salary Grade: Q1 J ob Code: Position Summary: Review medical records to extract the discharge planning information into a form to justify why a patient is in need of the duration at the hospital and for the care received. Document patient condition, medications, diet and procedures performed. Responsibilities: Qualifications: Licensed RN or Physician Knowledge: Working knowledge of medical records processing. Relevant work experience and training including familiarity with Coding, CPT, Medical Terminology and Credentialing. Experience: At least 5 years experience in hospital or physician billing including 2 years in a supervisory role and a working knowledge of medical terminology dealing with insurance related issues. Experience with standard office software products a must. Skills/Aptitudes: Source:

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