FC Compassus LLC
Company:
Compassus
Position Summary
Responsible for leading and oversight of market insurance verification and authorization functions. The supervisor will be responsible for managing and training a team of insurance coordinators through their day-to day tasks. This position also is responsible for accurate and timely insurance verification and authorization requests for home health care services for new or existing patients in accordance with their third-party payor policies while following all federal, state, and local regulations including Medicare and Medicaid guidelines.
Position Specific Responsibilities
• Responsible for leading team as it relates to insurance verification and authorization functions.
• Conduct performance reviews, quarterly check-ins, and staff 1:1s to guide performance management and employee development and manage toward departmental goals, including quality and process improvement efforts.
• Coordinate department schedules to ensure appropriate workload and ratio balance.
• Identify, develop and implement potential solutions to resolve problems and/or remove barriers that inhibit the department's ability to achieve performance goals.
• Maintain confidentiality and privacy of patient/family finances, records, health status, etc.
• Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
• Complete insurance verification on all new and existing patients, requests and completes follow-up appropriately for authorization.
• Contacts insurance carriers to obtain and verify benefit coverage, policy limitations, and authorization/notification for patients.
• Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third-party payer requirements/on-line eligibility systems.
• Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program.
• Maintains a thorough understanding of the revenue cycle which includes insurance requirements, billing, and associated correspondence and is able to independently resolve issues
• Scans and uploads appropriate documents to the patient chart and assists with completing patient profile.
• Works closely with and supports team efforts to accomplish authorization/verification relative activities as directed.
• Documents payer and authorization information with the EMR system.
• Complete Payor Change process, as needed.
• Provides effective communication to team members and other health care professionals while maintaining confidentiality
• Supports the Company's services mission statement, philosophies, and objectives promoting safe delivery of home health care services.
• Adherence to and compliance with information systems security is everyone's responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems.
Education and/or Experience
High School Graduate or equivalent. Minimum of 3+ years of experience in a home health/medical service setting; previous management experience preferred Skills
Mathematical Skills:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Other Skills and Abilities:
Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Strong computer skills with proficiency in MS Office Suite required. Familiarity with Electronic Medical Records (EMR), Homecare Homebase preferred. Working knowledge of billing activities and accounts receivable systems. Understanding of Federal, State and accreditation regulations governing home health.
Pay Range: $70,000 - $85,000 annually
Physical Demands and Work Environment:
The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.
The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
Position Summary
Responsible for leading and oversight of market insurance verification and authorization functions. The supervisor will be responsible for managing and training a team of insurance coordinators through their day-to day tasks. This position also is responsible for accurate and timely insurance verification and authorization requests for home health care services for new or existing patients in accordance with their third-party payor policies while following all federal, state, and local regulations including Medicare and Medicaid guidelines.
Position Specific Responsibilities
• Responsible for leading team as it relates to insurance verification and authorization functions.
• Conduct performance reviews, quarterly check-ins, and staff 1:1s to guide performance management and employee development and manage toward departmental goals, including quality and process improvement efforts.
• Coordinate department schedules to ensure appropriate workload and ratio balance.
• Identify, develop and implement potential solutions to resolve problems and/or remove barriers that inhibit the department's ability to achieve performance goals.
• Maintain confidentiality and privacy of patient/family finances, records, health status, etc.
• Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
• Complete insurance verification on all new and existing patients, requests and completes follow-up appropriately for authorization.
• Contacts insurance carriers to obtain and verify benefit coverage, policy limitations, and authorization/notification for patients.
• Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third-party payer requirements/on-line eligibility systems.
• Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program.
• Maintains a thorough understanding of the revenue cycle which includes insurance requirements, billing, and associated correspondence and is able to independently resolve issues
• Scans and uploads appropriate documents to the patient chart and assists with completing patient profile.
• Works closely with and supports team efforts to accomplish authorization/verification relative activities as directed.
• Documents payer and authorization information with the EMR system.
• Complete Payor Change process, as needed.
• Provides effective communication to team members and other health care professionals while maintaining confidentiality
• Supports the Company's services mission statement, philosophies, and objectives promoting safe delivery of home health care services.
• Adherence to and compliance with information systems security is everyone's responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems.
Education and/or Experience
High School Graduate or equivalent. Minimum of 3+ years of experience in a home health/medical service setting; previous management experience preferred Skills
Mathematical Skills:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Other Skills and Abilities:
Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Strong computer skills with proficiency in MS Office Suite required. Familiarity with Electronic Medical Records (EMR), Homecare Homebase preferred. Working knowledge of billing activities and accounts receivable systems. Understanding of Federal, State and accreditation regulations governing home health.
Pay Range: $70,000 - $85,000 annually
Physical Demands and Work Environment:
The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.
The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.