Overview

Reviews and anticipates documentation needed for timely submission based on project. Assists the team members with issues and provide business and administrative support to the respective VNS Health program. Updates, monitors and maintains all tracking systems necessary for timely transactions, collections and reconciliations. Works under general direction.

Responsibilities
• Receives and reviews reports and determines required documentation needed to initiate to prepare timely submission to appropriate vendor. Monitors and reviews reports and follows up to ensure information needed is received and processed for all admissions within the established guidelines. • Monitors and prepares incoming requests and ensures that the patient record is sent to appropriate person to review for accuracy. Reviews and audits requests to ensure completed information and prepare record(s) for submission. Tracks/maintains transaction log with request date and submission dates. • Collaborates with VNS Health internally on reconciliation of patient/provider accounts. Tracks, monitors, compiles and collects, data. Prepares and provides necessary information, including investigation and verification of insurance, as needed. • Prepares and presents information related to special projects designed to analyze specific issues for management decision, as needed. Presents findings and makes preliminary recommendations for corrective action or new initiatives and implements approved decisions, as needed. • Works with VNS Health staff on assigned projects and provides professional assistance to management and staff collecting, compiling and preparing the data for specific projects, as needed. • Prepares and maintains weekly and monthly logs for management review. • Acts as a resource to new clerical staff in addressing complex or problematic issues. Assists management in training of new staff. Provides feedback on training progress of new or less experienced employees. • For Business Development Only: • Prepares weekly DME/Supply and pharmacy registers for approval by Director of Operations and submission to Accounts Payable. Analyzes invoices, identifies outstanding or unique issues and alerts Director and Accounts Payable of findings. • For Hospice Only: • Assists in reconciling orders which have not been cleared. • Monitors daily admissions and recertifications to ensure key billing documentation is received in a timely manner while scheduling face to face visits, as needed. • Performs intake support which includes, but is not limited to, the follow up of managed care authorizations on pending referrals, referrals in need of face to face encounter form, physician certification and insurance verification, and fax coordination. • Assists with the preparation of correspondence, data and drafting of materials for presentations, reports, publications, etc. • Participates in special projects and performs other duties as assigned.
Qualifications
Education:
High School Diploma or the equivalent required Bachelor's Degree in Business Administration, in a related field or the equivalent Equivalent work experience preferred

Work Experience:
Minimum three years experience in business operations, preferably in a health care setting required Proficient with personal computers preferably Microsoft Windows, Word and Excel required Effective oral and written communication and analytical skills required Ability to work in a collaborative team environment required