Home Health Orders Manager
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Home Health Orders Manager (Work From Home)
Rate: $4/hr and earn up to PHP 40,000+/month
Schedule: Monday to Friday: 8:30 AM - 5:30 PM PST, with a 1- Hour Unpaid Lunch Break.
Qualifications:
- Must have Home Health and/or Hospice experience.
- Must have Experience with Kinnser
- Must have experience withthe Order Manager tool in Kinnser
Responsibilities:
- Coordinate the management of clinical orders.
- Call doctors' offices to get orders signed.
- Fax orders to doctors’ offices.
- Check if signatures are valid and properly placed on the orders.
- Upload orders from fax to Kinnser.
- Ensure orders are uploaded to the correct patient.
- Monitor partner portals for incoming referrals.
- Work directly with Community Liaisons to process potential and new patient information and aging orders.
- Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
- Ensures maximum third-party reimbursement through direct oversight of insurance verification and authorization processes.
- Maintains comprehensive working knowledge of Home Health contractual relationships and ensures that patients are admitted according to contract provisions.
- Process authorization & scheduling notes in WellSky (Kinnser). Compare submitted communication notes with physician orders.
- Plot and schedule visits. Work with the field team to find staffing coverage.
- Plot visits according to the Plan of Care.
- Collect clinicians' availability for visits.
- Assign plotted visits to Clinicians.
- Manage authorizations for insurance.
- Collaborate with the utilization review and authorization teams. Work with others in a flexible and cooperative manner.
- Determine a patient’s eligibility for insurance benefits, typically before medical treatments and tests.
- Submit processes for patients and secure any necessary pre-authorizations.
- Verify coverage and communicates with medical facilities to resolve any discrepancies.
- Responsibilities include staying current with insurance requirements, maintaining logs of denied claims, and problem-solving cases as needed.
- Other duties include follow-up on missing or inaccurate information and coordination with clinical staff and physicians.
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