Address
Form of workJob Summary:
Primary function is to assume the responsibility of coordination of billing and QA functions in accordance with state,
federal and local regulations.
Job Qualifications:
Education: High School Graduate (College Preferred). Must be trained on the use of the EVV System
to enter all of the required data elements, enter schedules (as applicable), and verify service delivery
through visit maintenance and the use of reason codes.
Experience: One year healthcare and/or quality improvement experience preferred.
Skills: Knowledge of office machines preferred, computer skills required, excellent interpersonal and
organizational skill. Some knowledge of billing and quality assurance required.
Environmental and Working Conditions:
Works in a routine office environment. Noise level may be moderately high, the ability to work a flexible schedule
and extended hours. The ability to travel locally and some exposure to inclement weather.
Physical and Mental Effort:
Prolonged sitting and some standing required. Occasional need to lift, pull, carry, and push items weighing up to fifty
pounds. Frequent need to stoop, kneel, and reach while accessing files. Requires working under some stressful
conditions to meet deadlines and employer and employee needs. Requires hand-eye coordination and manual
dexterity. Requires excellent problem-solving skills.
Essential Functions
Recommends, implements, and directs the agency's EVV billing policies and procedures.
Responsible for completion of the EVV record, including any visit maintenance, prior to
submitting a claim associated with the EVV record.
Assist with developing, maintaining, and implementing the staff in-services in billing and
reimbursements.
Consults and communicates with all members of the agency's billing department on a regular
basis to coordinate and address appropriate quality program related issues.
Assist with systematically identifying, investigating, and resolving compliance and quality of
care issues through the corrective action plan process.
Assist with preparation of the annual Quality Improvement report as part of annual agency
evaluation.
Ensures all documents are in order and submitted timely according to payer source
requirements.
Serves as liaison to the administrative staff. Provides billing and staffing feedback as needed.
Establishes, monitors and evaluates productivity standards by conducting audits for completion
of all appropriate billing documentation on a regular basis.
Enhances professional growth and development through participation in educational programs,
staff in-service and workshops.
Ensures confidentiality of all transactions related to financial structure of the agency.
Maintains high standard of compliance in ethical and federal regulation at all times.
Performs other functions as assigned by the Administrator.
Primary function is to assume the responsibility of coordination of billing and QA functions in accordance with state,
federal and local regulations.
Job Qualifications:
Education: High School Graduate (College Preferred). Must be trained on the use of the EVV System
to enter all of the required data elements, enter schedules (as applicable), and verify service delivery
through visit maintenance and the use of reason codes.
Experience: One year healthcare and/or quality improvement experience preferred.
Skills: Knowledge of office machines preferred, computer skills required, excellent interpersonal and
organizational skill. Some knowledge of billing and quality assurance required.
Environmental and Working Conditions:
Works in a routine office environment. Noise level may be moderately high, the ability to work a flexible schedule
and extended hours. The ability to travel locally and some exposure to inclement weather.
Physical and Mental Effort:
Prolonged sitting and some standing required. Occasional need to lift, pull, carry, and push items weighing up to fifty
pounds. Frequent need to stoop, kneel, and reach while accessing files. Requires working under some stressful
conditions to meet deadlines and employer and employee needs. Requires hand-eye coordination and manual
dexterity. Requires excellent problem-solving skills.
Essential Functions
Recommends, implements, and directs the agency's EVV billing policies and procedures.
Responsible for completion of the EVV record, including any visit maintenance, prior to
submitting a claim associated with the EVV record.
Assist with developing, maintaining, and implementing the staff in-services in billing and
reimbursements.
Consults and communicates with all members of the agency's billing department on a regular
basis to coordinate and address appropriate quality program related issues.
Assist with systematically identifying, investigating, and resolving compliance and quality of
care issues through the corrective action plan process.
Assist with preparation of the annual Quality Improvement report as part of annual agency
evaluation.
Ensures all documents are in order and submitted timely according to payer source
requirements.
Serves as liaison to the administrative staff. Provides billing and staffing feedback as needed.
Establishes, monitors and evaluates productivity standards by conducting audits for completion
of all appropriate billing documentation on a regular basis.
Enhances professional growth and development through participation in educational programs,
staff in-service and workshops.
Ensures confidentiality of all transactions related to financial structure of the agency.
Maintains high standard of compliance in ethical and federal regulation at all times.
Performs other functions as assigned by the Administrator.
