Monday - Friday

$15.00/Hr

ESSENTIAL FUNCTIONS:

The primary function is to assume the responsibility of coordination of billing and QA functions in accordance with state, federal and local regulations.

The PHC EVV Clerk is responsible for maintaining electronic visit verification for agency attendants to ensure compliance with TMHP protocol. The EVV Clerk communicates with attendants and clients to ensure schedule compliance. The EVV clerk will also follow up on hospitalizations and service breaks.

• Recommends, implements, and directs the agency's EVV billing policies and procedures.
• Responsible for completion of the EVV record, including any visit maintenance, prior to submitting a claim associated with the EVV record.
• Assist with developing, maintaining, and implementing the staff in-services in billing and reimbursements with supervisor oversight.
• Consults and communicates with all members of the agency's billing department on a weekly basis to coordinate and address appropriate quality program related issues.
• Assist with systematically identifying, investigating, and resolving compliance and quality of care issues through the corrective action plan process.
• Assist with preparation of the annual Quality Improvement report as part of annual agency evaluation.
• Ensures all documents are in order and submitted timely according to payer source requirements.
• Serves as liaison to the administrative staff. Provides billing and staffing feedback as needed.
• Establishes, monitors, and evaluates productivity standards by conducting audits for completion of all appropriate billing documentation on a weekly basis.
• Enhances professional growth and development through participation in educational programs, staff in-service and workshops.
• Ensures confidentiality of all transactions related to financial structure of the agency.
• Always maintains high standard of compliance in ethical and federal regulation.
• Performs other functions as assigned by the Administrator or direct supervisor.