
Appointments Compliance Specialist
2 days ago
This role involves ensuring the accuracy and compliance of scheduled appointments to prevent billing issues and conflicts.
The Appointment Rules Verification Specialist is responsible for meticulous oversight of appointment codes, schedule adjustments, and the maintenance of critical scheduling documents.
Key Responsibilities:
- Review scheduled appointments daily and weekly to ensure there are no conflicts with other providers' appointments
- Adjust and substitute conflicting appointments with valid alternative codes, ensuring providers can continue delivering services without interruptions
- Plan and schedule necessary bloodwork and urine screening appointments for clients, ensuring all relevant appointments are accounted for and non-conflicting
- Export and update the Active Client List in the designated spreadsheet daily, ensuring all entries are current and accurate
- Update the housing roster by comparing Buildium vs. ICANotes Active Clients, specifically updating the 'CAT A | CAT B' tab on a weekly basis
- Generate and distribute weekly and monthly reports related to appointment code conflicts, providing detailed analysis and actionable insights to management
- Conduct daily and weekly rules verification to ensure all appointments adhere to established guidelines, reducing the risk of billing concerns and service disruptions
- Update and monitor the DSP and CPRS sheets, comparing the FHS sheet versus the Position Seat Sheet to ensure accurate client assignments
- Maintain and update the DSP/CPRS assignment sheet, ensuring new clients are added and discharged clients are removed promptly
- Monitor and update the DSP/CPRS calendar, ensuring it accurately reflects current assignments and service needs
- Update the PRP calendar for group appointments on a weekly basis, ensuring all scheduled sessions are correctly documented
Requirements:
- Excellent analytical and problem-solving skills
- Strong attention to detail and organizational abilities
- Ability to work independently and as part of a team
- Effective communication and interpersonal skills
- Knowledge of scheduling software and systems
- Ability to maintain confidentiality and handle sensitive information
Benefits:
- A competitive salary and benefits package
- Ongoing training and professional development opportunities
- A supportive and collaborative work environment
- The opportunity to make a positive impact on the lives of clients
What We Offer:
- A dynamic and challenging work environment
- The opportunity to grow and develop your career
- A commitment to diversity, equity, and inclusion
- A comprehensive employee assistance program
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