LifeCare Home Health Family

QA Engineer

• Assist in maintaining, fostering high quality of patient care
• Promote/exemplify Company mission, vision and values
• Coordination and collaboration with agency leaders on Oasis, POC, QA
• Educates and collaborates with field clinicians, clinical managers, DOC's, Administrators on best practices
• Participate in the development of field clinicians that routinely perform OASIS assessments
• Review OASIS and contents of POCs for OASIS accuracy
• Focus on best practice OASIS items
• Review to ensure appropriate utilization of resources
• Ensure that the frequency listed for each discipline is scheduled as ordered
• Reviews, monitors all Wellsky reports related to QA daily workflow
• Assist with end of episode billing to ensure unbilled meets company goals
• Collaborates with key leadership to ensure STAR ratings, HHCAPS and VBP exceeds state/national levels
• Supports branch location when needed
• Identifies training needs in branch locations

Home Health Clinical QA Manager

Sales

• Promote /exemplify Company mission, vision and values at all times.
• Responsible to hire, orient, train (ongoing) and evaluate performance of all staff involved in Account Executive activities related to the Company.
• Evaluate the performance of the Account Executives ability to initiate/maintain contact with physicians, key hospital departments, as well as groups such as other areas of health care facilities, senior associations, and service representatives to be an education resource for new developments in home care and provides resources as indicated.
• Maintain positive relationships with physicians, hospital personnel and the community to ensure open lines of communication to facilitate and improve care.
• Maintain ongoing communication with the staff of the Company to ensure the needs of the community and health care staff are met.
• Assist in the development of new services or processes to meet the needs or improve upon care.
• Assist in developing yearly Account Executive plan and financial resources to conduct them.
• Assist in developing, reviewing, and updating Account Executive material.
• Comply with all aspects of the Company’s Compliance Program and HIPAA regulations.
• Provide effective communication to clients, their families, team members, and other health care professionals.
• Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency.
• Meet mandatory continuing education requirements of the Agency/licensing board.

Regional Sales Manager – Home Health

General

• Responsible for gathering, posting, and reconciling all payments received by Lifecare Home Health and all acquired companies
• Requires daily posting of deposits and weekly and monthly reconciliation to all Lifecare HH accounting systems, lock boxes, and acquired agency’s bank accounts
• Monitor clearinghouse for incoming payments
• Download 835s from clearinghouse and/or other payer websites for posting to Medicare/Commercial accounts
• Retrieve and post remittances from applicable payer websites when the remittance is unavailable from the clearinghouse
• Hand key remittances if an 835 is unavailable or not applicable to a specific payer
• Notify Supervisor of trends or issues with importing or not receiving remittances from clearinghouse/online payment portals
• Review remittances for applicable adjustments and transfer the balance to MSP or patient responsibility when appropriate
• May receive credit card information via mail or phone and process payment on the portal
• Post credit card payments to applicable practice management system and balance payments monthly with accounting
• Identify underpayments or overpayments, coordinate follow-up with Collector, and notify the appropriate billing supervisor
• Respond to questions related to payment applications and work closely with associates to resolve any account variances
• Research and correct keying errors as needed
• Daily pull all incoming batches of live checks processed for deposit through lockboxes and confirm each deposit has been posted & reconciled to the appropriate practice management system
• Balance checks are posted to batch totals
• Post-write-offs once approved by management before month end
• Post refund checks issued by accounting related to overpayment recoveries/credit balances reflected on Kinnser accounts
• Monitor & record refund requests received monthly by agency location
• Provide month-end bank file with summarized payment totals inclusive of all deposits processed within a close month, allocated by associated agency location
• Account for total write-offs, refund requests, underpayments, overpayments, and credit balances, then submit each category on provided template each month
• Work closely with accountants to resolve month-end variances and reconcile items

Cash Application Specialist – Home Health/Hospice

• Assists in the coordination of patient care under the direction of the Business Office Manager.
• Promote/exemplify Company mission, vision and values at all times.
• Receive all intake information and enter the appropriate information in the computer.
• Complete intake forms and route them appropriately for admission approval.
• Contact patients to verify correct contact information and that HHC has been ordered by their physician.
• Communicate with the business development team, discharge planners, and facility contacts to receive new and returning patients in a timely manner.
• Comply with all areas of the Agency’s Compliance Program and HIPAA regulations.
• Assist in maintaining case management notes while maintaining the confidentiality of patient records.
• Provide effective communication to clients, their families, team members, and other health care professionals.
• Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency.

Intake Coordinator – LVN Preferred

Manager

• Maintain the quality of client care in accordance with the Agency’s objectives and policies
• Direct and manage the field staff of the Agency while coordinating care with the interdisciplinary team, patient/family and referring Agency
• Promote /exemplify Company mission, vision and values at all times
• Coordinate and schedule the daily work load of the office while utilizing Agency personnel to their fullest capacity
• Provide daily supervision of field nurses and Home Health Aides to ensure the quality of services and maintenance of standards
• Review and investigate the clinical content, diagnoses, medical history, medications, fee status and other procedures from the records of clients
• Direct staff toward the appropriate use of community resources
• Appraise staff performance during their probationary period and annually
• Provide teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and health aide staff
• Identify and evaluate client needs and appropriateness of home care
• Participate in community related functions as necessary
• Assist with the orientation of new professional staff to familiarize them with Agency policies and procedures
• Take client visits in the home setting as needed
• Participate in audits, U.R. interdisciplinary team conferences and represents Agency in the community as requested
• Review each clinician’s schedule for recertification, discharges, and aide supervisory visits
• Review weekly schedule submitted by clinician for changes or updates
• Perform other duties as directed by Area DOCS/ DOCS.

Home Health Clinical QA Manager

Regional Sales Manager – Home Health

Cash Application Specialist – Home Health/Hospice

Intake Coordinator – LVN Preferred

Clinical Manager, RN – Home Health