EVV Compliance Specialist - Frisco, United States - Ambercare

Ambercare Frisco, United States

1 week ago

Description

>> We offer our team the best <<

Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts

Position Summary: The EVV Compliance Specialist is responsible for a variety of daily tasks related to managing the electronic visit verification (EVV) systems across multiple states. Tasks will include monitoring the EVV systems in real-time, communicating with caregivers, branch staff and insurance payers and working from Excel reports to reconcile data between multiple systems.

Schedule: Mon-Fri 8am-5pm

Essential Duties:

Monitor EVV systems in real-time and contact caregivers who have not clocked in or out successfully, in order to understand the issue and request the paper timesheet. Follow processes for escalation when necessary
Provide educational/training assistance to caregiver staff on appropriate use of the EVV systems in order to drive compliance
Request retro schedule change requests and manual visit confirmation requests and follow up until resolved and billing is complete
Work with insurance companies and EVV companies as necessary to resolve demographic and/or authorization issues within the EVV system
Complete root cause research and resolve errors in EVV systems; resulting in accurate service hours and the correct billing of claims to payers
Complete root cause research and resolve errors populating on Excel reports, resulting in information accurately importing into our system, the correct billing of claims to payers and our systems accurately reconciling
Serve as subject matter expert on all EVV systems and provide training to others as needed.
Serve as subject matter expert on rules surrounding billing in accordance to regulatory requirements set forth by payers, state, and federal agencies.
Exhibit excellent interpersonal and communication skills necessary to interact with our customers and staff members in all departments and branches.
Maintains positive working relationships with all other staff to gain their cooperation and support.
Provide support in implementing improvements to processes and electronic information systems to ensure ongoing efficiency across the organization.
Monitoring and trending EVV data to ensure procedures and processes are working properly.
Providing support and assistance to Operations and/or Reimbursement departments as needed for specials projects or needs.
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned

Performance Responsibilities:

Maintains positive internal and external customer service relationships
Maintains open lines of communication
Plans and organizes work effectively and ensures its completion
Meets all productivity requirements
Demonstrates team behavior and promotes a team-oriented environment
Actively participates in continuous quality improvement
Represents the organization professionally at all times

Position Requirements & Competencies:

High school diploma or GED equivalent
Administrative experience required; customer service experience preferred
Strong communication skills and interpersonal skills
Computer proficiency required; including intermediate level knowledge in Microsoft Excel
Knowledge of home care operations, including Horizon preferred
Knowledge of state Electronic Visit Verification (EVV) systems preferred
Ability to work collaboratively and individually
Analytical and problem solving skills required
Ability to read, interpret and implement regulations and administrative rules from a variety of sources including the State and Federal government

To apply via text, text 5834 to

#ACADCOR #CBACADCOR #DJADCOR

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