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Bluebird has a Remote Medical Reauthorization Specialist with Brightree experience with strong recent Brightree software experience.
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The ideal candidate will have experience in the healthcare industry, specifically in respiratory therapy, and be able to work in a fast-paced environment. The position will entail the creation, submission, follow up and logging of recertification CMN’s to physician offices via Brightree; as well as the timely submission of authorization requests to assigned payers. Job Type: This is a full-time position, 40 hours per week, Mon-Fri 8:30am-5pm EST Job Qualifications • High School Diploma or equivalent • Ability to handle multiple tasks in fast paced, challenging environment • DME background • Medical Reimbursement background • Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence • Brightree experience is required • Clinical, medical office administrative, or related experience Job Responsibilities, included but not limited to: • Work collaboratively with other department staff such as AR Specialists to ensure timely collections or resolution of issue • Perform Brightree related transactions such as the creation, submission and logging of a CMN accurately and timely • Ensure that proper CMN/prescription documentation is on file in a timely manner to ensure compliance for equipment and supplies billed to commercial, state and federal entities • Submission of authorization requests will be completed using paper forms, printed documentation, fax, payer portals or other means • Contact patients, physician offices and referral sources as needed regarding account issues • Escalate problem accounts and ensure resolution • Submit in a timely manner, the required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers • Understand payer requirements to ensure authorization approval is granted • Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel is necessary to ensure timely turnaround and approval • Other duties as assigned #LI-SL1 |
