JOB SUMMARY

The Business Operations Specialist is the focal point for all office activities in Hospice and Home Health. Including, but not limited to, patient database maintenance, software systems maintenance, Department filling software troubleshooting, billing processes, answering phones, ordering supplies, scheduling visits and managing MD orders.

ESSENTIAL FUNCTIONS

Files Medicare claims electronically. Mails other bills (commercial insurance, private pay, Medicaid waiver) with appropriate paperwork attached.
Maintains appropriate records of claims filed. Follows up on denied claims & resubmits as necessary. Assures a timely response to denied claims.
Compiles & deposits payments received. Posts payments.
Prepares visit, charge, & deposit summaries by the fifth of the month & submits reports to the comptroller & the Director of Home Care Services.
Trouble shoots Medicare billing issues & communicates appropriately to correct problems.

Medical Records Duties

Enters client’s admission data, assembles & assists with maintaining charts for all patients. Performs all patient record activities with close attention to accuracy, HIPPA regulations and laws of record retention.
Processes visit notes and ensures forms are completed; follows up with clinicians to resolve inaccuracies.
Files all chart related reports in appropriate patient chart while maintaining appropriate functional order.
Performs chart audits at discharge.
Assures MD orders & POT's are sent and tracked.
Knowledgeable & able to articulate statistical information and content of generated reports.

Clerical Responsibilities

Answers incoming phone calls courteously & professionally. Records & delivers messages to staff in a timely manner.
Process Payroll
Maintains adequate quantity of forms, office supplies and medical supplies. Orders & maintains inventory level as directed by the Director of HBS.
Assists Director with planning & preparing paperwork needed for annual Professional Advisory Committee meeting as well as other.
Maintains all database activities related to patients including OASIS entry as needed, POT's , & tracks corrections to all.
Maintains office equipment in proper working order.
Triages/solves problems when Director not available.

Professional Development

Tracks and communicates changes in Medicare. Maintains, develops & updates skills to implement ideal service.
Assists/teaches staff regarding information systems.
Keeps current in new developments in the industry.
Facilitates departmental Performance Improvement projects.
Demonstrates thorough working knowledge of medical & pharmaceutical terminology. Asks questions &/or uses appropriate reference material to clarify issues.

Staff Coordination

Contributes to IDG, State, Medicare/Medicaid survey audit preparation, annual State of the Agency Report, quality improvement program.
Contributes to contract personnel review and contracts.
Contributes to agenda and presentation items for staff meetings.
Helps assure accurate payroll and approves time cards.
Contributes to employee evaluations.
Schedules staffing/call shifts for all staff and distributes finalized schedule by the 15th of the previous month.

JOB REQUIREMENTS

Minimum Work Experience

Required: Knowledge of Wellsky or Kinser software,Typing, wide range of computer skills and basic accounting required. Good communication, interpersonal, phone and customer service skills necessary. Ability to multi-task. Good organizational skills.

Preferred: 1-3 years of experience with Hospice Home care and with Medicare experience preferred.

Job Type: Full-time

Pay: $27.00 - $30.00 per hour

Benefits:

Paid time off
Referral program

Schedule:

Monday to Friday

Education:

High school or equivalent (Required)

Experience:

Hospice and Home Health: 1 year (Required)

Work Location: In person

PrimRose Hospice and Home Health

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Business Operations Specialist