Evv Coordinator - Houston, United States - Harris Health System

Harris Health System
Harris Health System
Verified Company
Houston, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance.

Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:


  • Medicaid State of Texas Access Reform (STAR) program for lowincome children and pregnant women
  • Children's Health Insurance Program (CHIP) for the children of lowincome parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
  • Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of preexisting conditions.
  • Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Improving Members' experiences is at the heart of every Community position.

We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy.

An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.


Skills / Requirements:


JOB SUMMARY

JOB SPECIFICATIONS AND CORE COMPETENCIES

  • Manage EVVrelated inquiries from external and internal parties:
  • Manage the EVV system to ensure accurate and timely documentation of services provided.
  • Implement audit and investigative strategies to identify potential issues and ensure compliance.
  • Collaborate with internal stakeholders:
  • Identify and address EVVrelated issues.
  • Take exported data from systems that do not interface with Community Health Choice systems.
  • Ensure data integrity:
  • Extract, process, analyze, and interpret data to identify trends, patterns, and issues related to EVV.
  • Ensure timely and accurate submission of required reports and documentation:
  • Maintain heavy contact with EVV Providers, including training, compliance, and other miscellaneous items.
  • Provide training and guidance to providers:
  • Ensure compliance with policies and procedures.
  • Other duties as assigned.

QUALIFICATIONS:


  • Education/Specialized Training/Licensure: High School Diploma required.
  • Work Experience (Years and Area): Minimum of 3 years of experience in healthcare or a related field.
  • Experience with healthcare data analysis tools, software, and/or platforms
  • EVV proficiency with the ability to navigate the complexities of EVV systems
  • Management Experience (Years and Area): N/A


  • Software Proficiencies:

  • MS Excel and statistical reporting experience
  • SQL knowledge/Excel Macros
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