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.