FT DAYS MON-FRI

HOME HEALTH DEPARTMENT

POSITION SUMMARY:   

Works under the supervision of the Home Health Director.  Maintains the essential functions of the office as well as maintenance and upkeep of all office equipment.  Responsible for procurement of supplies, equipment and services for both departments. Prepares monthly and annual statistical reports for multiple departments.  Handles account payables for both departments.  Handles all financial aspects of patients’ accounts.  Performs special functions as needed.

POSITION QUALIFICATIONS: 

MINIMUM EXPERIENCE:

• Experience or knowledge of the medical field and/or billing preferred and/or two years in an office setting.

PERSONAL QUALIFICATIONS:

• Works effectively with others, possesses tact, discretion, and diplomacy.
• Demonstrates leadership and effective teaching skills.
• Works well under pressure.
• Maintains good physical and emotional well-being.
• Displays excellent interpersonal communication skills.
• Takes initiative.
• Is a role model.    

MINIMUM FIELD OF EXPERTISE:

• Overall knowledge of business office procedures.
• Experience in automated system preferred.
• Operates a 10 key calculator.
• Excellent telephone and communication skills.
• Knowledge of medical terminology.
• ICD-9 and CPT coding experience preferred.
• Knowledge of billing and claims preferred.

DUTIES OF HOME HEALTH & HOSPICE OFFICE MANAGER

• Assists with new employee orientation
• Supports continuous quality improvement activities through active participation in Home Health office issues. Evaluates office administrative procedures and recommends improvements as needed.
• Performs accounts payable for Home Health & Hospice.
• Provides instruction and guidance to other staff members in software applications or computer issues
• Assists director in maintaining and/or updating all Home Care job descriptions.
• Prepares and tracks maintenance orders for multiple departments
• Responsible for procurement of supplies, equipment and services for multiple departments
• Seeks and maintains knowledge of Medicare, Medicaid, and private insurance reimbursement criteria. Provides information and guidance to staff when changes occur.  Ensures that home health regulations and requirements are met.
• Calculates staff mileage for HH & HME and completes necessary documents required for reimbursement
• Is responsible for end of month and end of fiscal year reports for the CFO and Controller.  Prepares additional reports upon request.
• Prepares, processes, and submits all insurance claims according to payor guidelines.  Prepares client invoices. 
• Posts payments on customer accounts.  Reconciles remittance advices as well as private pay payments and balances.
• Researches credit balances on accounts and takes appropriate action.
• Completes required Medicare Credit Balance Report Certification on a quarterly basis.
• Contacts insurance companies to collect on unpaid claims and/or research denial reasons, corrects/adjusts claims accordingly.
• Works closely with the clinical care supervisor ensuring that SCA/HCBS patients stay within allotted hours as determined by the AAA.
• Assists clinical supervisor and nursing staff with prior authorizations and/or referrals for patients that require them. Ensures they are correct and coordinates closely with nursing staff on any discrepancies or additions that need to be made.
• Covers the other office areas as needed to include answering phones, relaying messages, covering at reception counter, and filing