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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. If you are a motivated individual with a passion for providing excellent patient care and have experience in CMN and re-authorization requests for infusion therapy, we encourage you to apply for this exciting opportunity.

Job Qualifications

• High School Diploma or equivalent
• Ability to handle multiple tasks in fast paced, challenging environment
• DME background is required
• Brightree experience is required

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