Clinical Documentation Specialist
- Full-time
Company Description
Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.
Job Description
Purpose: The Clinical Documentation Specialist is a member of the Operations team and is responsible for obtaining all necessary clinical and client paperwork required to secure funding of a Speech Generating Device. The role requires consistent communication with Speech Language Pathologists, Clients, Care Providers and Prescribers. The ideal candidate will have experience with collecting and reviewing medical documentation, customer service, HIPAA (Health Insurance Portability and Accountability), and electronic paperwork filing.
Essential Duties & Responsibilities
- Guides Speech Language Pathologists (SLPs) and trains them in using Lingraphica’s Smart Paperwork Portal
- Assists and provides guidance and support to SLPs during the paperwork process via email, phone or video conferencing
- Obtains recommendation paperwork from the Speech Language Pathologist (SLP) and Client Authorization forms in a timely manner
- Obtains medical records and prescriptions from Prescribers.
- Reviews the completed documentation for thorough and accurate information in adherence to medical necessity guidelines
- Develops and maintains relationships with SLPs; develops rapport with medical professionals/prescribers
- Establishes rapport and trust with customers (persons with communication challenges {PWCCs} and care providers); obtains information necessary to ensure a successful sale
- Communicates benefits, eligibility and coverage information for Durable Medical Equipment clearly
- Maintains diligent organization of documents using Adobe and internal software tools
- Fully understands the trial procedures and Lingraphica’s products to address questions and concerns and keep the process moving smoothly
- Accurately and timely documents trial activities and correspondence using company’s internal software tools
- Follows sales process for successful handoffs of deals to other teams
- Contributes on special projects, as needed, as well as other duties as assigned
Qualifications
Knowledge, Skills & Abilities:
- Highly organized
- Excellent customer service skills and professionalism
- Ability to interpret medical documentation and determine its adequacy for insurance approval and reimbursement purposes
- Strong critical thinking and problem-solving skills
- Effective written and verbal communication skills
- Ability to effectively handle multiple and shifting priorities
- Proficiency and comfortability in making and answering numerous phone calls throughout the workday
- Ability to support cross-functional teams and the ability to understand and translate business issues into actionable solutions
- Ability to take on new challenges and work outside of one’s comfort zone
- Ability to resolve issues in a professional and timely manner
- A team player with overall company goals in mind
- Ability to maintain proper, courteous, and helpful telephone etiquette
- Ability to demonstrate sense of urgency and willingness to go above and beyond to complete tasks
- Ability to comfortably interface with various users across the organization
Education & Experience
- High School Diploma or GED, required.
- Associate’s or Bachelor’s Degree, preferred
- 1-2 years’ experience in customer service or within the healthcare industry
- Experience with Adobe, Microsoft Suite, HubSpot (or other CRM), cloud-based phone systems, video meetings (such as Zoom), & instant messaging systems (such as Slack), preferred.
Additional Information
Work Environment & Physical Demands
Incumbent works remotely and is expected to maintain a safe, productive work environment with secure internet access. Must be able to operate a computer with or without reasonable accommodation.
Travel
Travel is required for the annual company meeting and team off-site, within the continental United States, approximately twice per year.
Accommodations
To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To learn more about Lingraphica, visit: www.lingraphica.com!
This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.