Job Information
Superior Ambulance Service PCS Specialist in Elmhurst, Illinois
Overview
Have a profound knowledge in the PCS process to identify system and/or coding errors and provide feedback to management in the following areas:
o Tab 7 reason
o Valid PCS attach but sending for new one
o Coders dumping claims in PCS schedule
o No attempts to identify for valid PCS
o DR name not being requested for the rolodex
o Other realizations to improve the PCS process
Responsibilities
Review all the proper PCS workflow’s and ensure claims are being followed up on timely
Attach and review any PCS forms received by fax or mail and bill out the claim to appropriate payer and schedule/event
Mail and attach POM to Medicare claims within the 21 day billing mark. Ensure Medicare claims are being followed up on within 72 hours of each the 3 attempts for a DR name
Responsible for auditing claims on hold for PCS, bill out claims that have a valid PCS form, and provide feedback to management for educational purposes
o MI MCD MCOS
o MI Medicaid
o ISSUES PCS
Maintain a thorough understanding of running reports through excel and power BI
o Tab 7 missing
o ZOI PCS picture not attached
o PCS barcoded not attached
Keep a communication channel between support and front end billing in order to support the need of area improvements and to promote insurance collections/compliance initiatives
Establish expert knowledge for the required guidelines for PCS forms and be able to catch errors missed while billing
Mail out batch PCS print jobs daily
Tracking POM’s to ensure we have received all mail dates and pages back from post office.
