Aveanna Healthcare

Billing Specialist

• Resolve delinquent accounts receivable across commercial, Medicare, Medicaid, and private payers
• Follow up on unpaid, underpaid, and denied claims to ensure maximum reimbursement
• Document collection activity and payer communications accurately in the EMR
• Submit adjustments and coordinate claim corrections or rebilling as needed
• Review payer correspondence and address patient or guarantor billing inquiries
• Meet departmental productivity, A/R aging, DSO, and cash collection goals
• Ensure compliance with payer requirements, SOX controls, and internal policies

Director

• Meet with case managers daily at assigned hospitals
• Check on status of new and existing patients, ensure patient and/or caregiver knows what to expect while on service
• Create and carry out a specific sales plans and market development plan in with company goals and objectives
• Provide regular feedback to corporate management regarding sales activity and success in market development
• Complete documentation for new patient referrals; Work with branch team to ensure we have all appropriate paperwork to set up a patient on service
• Respond to patient questions and concerns; assess patient needs, status, and tolerance issues, troubleshoot and make recommendations as indicated or requested
• Coordinate efforts with and provide pertinent updates to Payer Relations team throughout patient onboarding process
• Interface with physicians, dietitians, and case managers to clarify and manage patients’ clinical needs
• Respond and follow up with branch requests, including insurance issues, medical eligibility, and clinical information for authorizations
• Assist with special projects such as specific patient needs in the community, ongoing training requests, hospital discharge process

Director of Hospital Engagement

Inside Sales

• Identifies all of the electronic referral systems utilized by referral sources and ensures Aveanna is enrolled and registered, including paid accounts where necessary.
• Ensures the setup and configuration of electronic referral systems are optimized to facilitate and drive referrals.
• Monitors the electronic referral systems for new referrals and timely accepts or declines referrals based on guidance provided by location or area leadership.
• Works with location leadership and outside sales teams to manage and optimize the flow of referrals.
• Notifies location, outside sales, and intake personnel of new referrals via email and instant messaging.
• Gathers and sends the appropriate referral information and documents to the intake team for processing into the electronic medical records system.
• Obtains and documents contact information and customer data on discharge planners and other referring individuals for inside sales activities.
• Utilizes inside sales tactics such as lead generation, relationship development, personalized messages, regular outreach campaigns, information gathering meetings, and social selling via social media platforms such as LinkedIn to engage and develop connections with referral sources and drive additional referrals.
• Adds or updates customer data and documents inside sales activities as needed in the company’s Customer Relationship Management (CRM) system.
• Ensures all communications with referral sources and internal teams meets Aveanna’s customer service requirements and expectations.
• Works with location and sales leadership to develop strategic plans for growth and to identify and capitalize on opportunities for driving additional referrals.
• Participates in sales blitz campaigns and occasionally partners with outside sales personnel to make in-person sales calls.
• Informs operations and sales leadership of any barriers or potential obstacles to accepting referrals.
• Participates in on-call rotation to cover after hours and weekends as needed.
• Meets or exceeds monthly qualified admission targets and works to ensure assigned locations meet admission goals.

Healthcare Inside Sales Referral Liaison

Customer Support

• Monitors and assesses company electronic medical records (EMR) workflows and assists as needed or assigned
• Provides support with the intake process and admission decisions
• Facilitates virtual training for newly hired/rehired/promoted Clinical Managers and Nurses
• Serve as interim Clinical Manager when position is vacant
• Act as mentor for new Clinical Managers

Home Health RN Clinical Support Specialist

QA Engineer

• The Quality Assurance Coordinator assists in maintaining client files, care provider files, electronic system integrity, preparing for audits, and reviewing documentation as needed.
• Adheres to Aveanna’s Core Values.
• Perform Weekly Audits.
• Actively participates in, and completes progress reports and meetings.
• Maintain integrity of client and care provider files.
• Monitor compliance to policies and procedures.