The Operations Specialist is responsible for providing top level customer service to internal and external clients as it relates to branch location's clinical operational support activities.
Essential Job Functions
Billing Activities:
Conducting all billing via Aveanna policies and procedures.
Conducting/managing monthly insurance verifications for all active clients receiving therapy or private duty nursing.
Requests Private Insurance Authorizations when applicable
Verifies payer information and benefit plans for new clients and communicates information to location management
Manages Pending Report to keep total in line with Regional expectations
Uses Accounts Receivable report to identify patients where we have collections issues and develop plan for correction
Payroll Activities:
Weekly time sheets entries for caregiver staff visits which generates billing
Audit weekly payroll reports and make timely payroll adjustments when necessary
Process and close payroll each week according to guidelines
Prepare and ensure timesheets and nursing notes for corporate billing department are processed according to guidelines
Prepare and maintain payroll files
Review and audit weekly net profit reports and communicate discrepancies to management in a timely manner
Be primary point of contact for location caregiver payroll inquiries
Establish an open line of communication and positive relationship with the Corporate Payroll department.
Personnel Activities:
o Participates in location recruiting activities, including identifying, scheduling and interviewing potential candidates
o Assist with caregiver onboarding activities; may be asked to assist with recruiting activities
o Ensures all caregiver personnel files are secure, accurate and complete
o Verification and maintenance of caregiver credentials (licenses and certifications)
o Creating and providing monthly evaluation and skills report to Director(s)
o Coordinate with Corporate Risk Management and Leave of Absence Specialists on all worker compensation claims and return to work coordination activities
o Coordinate with People Services on all unemployment claims
o Be primary point of contact for caregiver questions relating to company benefits, policies, procedures, education
Caregiver Coordination Activities:
o Establish and maintain an orientation schedule for caregiver staff
o Maintain accurate and up to date contact list of all active caregivers, including mailing log
o Review and confirm weekly schedules according to branch location guidelines
o Mail monthly schedule to patient's home each month according to branch location guidelines
Office Support Activities:
Scanning and/or filing of documentation and records
Assist in answering of incoming calls and ensuring accurate messages are taken and given to the appropriate staff member
Mail distribution to appropriate staff member or department
Process invoices according to branch location guidelines
Office supply orders
Perform special projects as needed
Requirements
High school diploma or GED
Proficient typing skills
Proficient Microsoft Office skills
Preferences
Payroll, billing and/or human resources experience
Private duty, home care or health care company experience
Advanced Microsoft Excel skills
Two (2) years general office experience
Other Skills/Abilities
Must maintain company and employee confidentiality at all times
Must maintain professional boundaries at all times
Ability to remain calm and professional in stressful situations
Attention to detail
Time Management
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Physical Demands
Must be able to speak, write, read, and understand English
Occasional lifting, carrying, pushing, and pulling of up to 25 pounds
Prolonged sitting, walking, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Environment
Performs duties in an office environment during agency operating hours
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Vaccination Requirements
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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