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Operations Specialist - Billing at Aveanna Healthcare

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Jenkintown, Pennsylvania





Job Description:

Position Overview
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
• Payroll Activities:
o Weekly time sheets entries for caregiver staff visits which generates billing
o Audit weekly payroll reports and make timely payroll adjustments when necessary
o Process and close payroll each week according to guidelines
o Prepare and ensure timesheets and nursing notes for corporate billing department are processed according to guidelines
o Prepare and maintain payroll files
o Review and audit weekly net profit reports and communicate discrepancies to management in a timely manner
o Be primary point of contact for location caregiver payroll inquiries
o Establish an open line of communication and positive relationship with the Corporate Payroll department
 

• Billing Activities
o Conducting all billing via Aveanna policies and procedures.

o Conducting/managing monthly insurance verifications for all active clients receiving therapy or private duty nursing.
o Requests Private Insurance Authorizations when applicable.
o Verifies payer information and benefit plans for new clients and communicates information to location management.
o Manages Pending Report to keep total in line with Regional expectations.
o Uses Accounts Receivable report to identify patients where we have collections issues and develop plan for correction.
o Conducting/managing monthly authorization verifications for all active clients receiving therapy and private duty nursing.

• Office Support Activities:
o Scanning and/or filing of documentation and records
o Assist in answering of incoming calls and ensuring accurate messages are taken and given to the appropriate staff member
o Mail distribution to appropriate staff member or department
o Process invoices according to branch location guidelines
o Office supply orders
o Preform special projects as needed

Requirements
• High school diploma or GED
• Proficient typing skills
• Proficient Microsoft Office skills

Preferences
• Payroll 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 Requirements
• Must be able to speak, write, read and understand English
• Occasional lifting, caring, pushing and pulling of up to 25 pounds
• Must be able to lift 50 pounds
• Prolonged 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.

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