Confirmation Specialist

Apple Homecare Medical, in collaboration with Pediatric Home Service, is a friendly and professional leader in home health industry with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work.

• Position: Order Confirmation Specialist
• Hours: Monday-Friday 8:30am-5:00pm
  
  

THE POSITION

As a part of the billing department the order confirmation specialist is responsible for confirming all sales orders that have been delivered to customers. This position is responsible for getting clean, payable, claims to payers within assigned patient work group (POD’s). Complies with payer filing deadlines, all internal processes and procedures, communicates effectively with leadership, other departments, and strives for the highest standards.

• Responsible for Working the Confirmation Team Report from assigned tabs working oldest to newest dates.
• Verifies tracking history and POD signature / dates on all Sales Orders.
• Ensures that ordering physician, and correct diagnoses are completed as required prior to confirmation.
• Completes Payor Level on Sales Order at insurance tab and makes changes to the line item level when needed. Verifies insurance as necessary.
• Ensures that correct HCPC codes, modifiers, and pricing are accurate. Adds Additional Information, Span Dates, etc. as required.
• Checks for CMN / PAR information and attaches to Sales Order when not previously logged.
• Clears messages, changes WIP State and checks completed box before confirmation.
• Communicates with other departments as necessary by WIP State, Sales Order Note, email, or internal spreadsheet when information needed to confirm Sales Orders cannot be located.
• Ensure invoices / claims make it to the payer accurately without rejection from Clearinghouse or denials at payer level.
• Knowledge of Teas Medicaid and Managed Care Organizations (MCO’s), Private/Commercial, Medicare, Tricare, and private Pay.
• Print, Mail, and notate patient invoices accordingly.
• Completes work within the required time frame to assure timely month end closing.
  
  

Requirements

• High school diploma or general education degree (GED); or one year related experience and/or training; or equivalent combination of education and experience.
• Work experience or knowledge of the healthcare industry, preferably specific to State Medicaid requirements. DME experience preferred.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Able to speak effectively before groups of customers or employees of organization.
  
  

The Company

Apple Homecare Medical in collaboration with Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile. Our services allow our clients to remain and thrive in their homes, schools, and communities.

The Benefits

• Holiday Pay
• Paid Time Off
• Health and Dental insurance
• Short & Long-Term Disability and Life Insurance
• 401K with match & educational benefits
  
  

Interested candidates should apply online at, please include cover letter & resume along with salary requirements in your application.

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.