Jennifer Lane

• Ensure team members provide excellent customer service to external and internal customers.
• Compile and report customer service and enrollment metrics to the management team, as assigned.
• Oversee daily enrollment, referral, payroll, and authorization functions to ensure accurate and timely payroll processing and claims submission.
• Supervise, train, and coach employees on standard operating processes, policies, and procedures.
• Conduct advanced reporting and oversight activities.
• Resolve escalated complaints from internal and external clients.
• Communicate effectively.
• Comply with applicable legal requirements, standards, policies, and procedures.
• Exhibit an intermediate level of computer efficiency.
• Demonstrate effective problem-solving and decision-making skills.
• Monitor deliverables, and ensure the timely completion of projects.
• Participate in and assign professional development and training activities.
• Collaborate with stakeholders regarding the delivery of services.
• Represent the company at stakeholder meetings, health fairs, and provider fairs.
• Market services to referral sources.
• Handles complex service programs and special projects.
• Bilingual preferred in various locations.
• Other duties as assigned.

• Provide excellent customer service to internal and external clients
• Handle inbound/outbound phone calls, providing accurate answers to queries and concerns
• De-escalate situations involving dissatisfied customers, offering assistance and support
• Provide administrative and clerical support including mailing, scanning, faxing, and data entry tasks
• Process forms and documents in relevant systems
• Support accounts receivable efforts by auditing service authorizations for accuracy and facilitating corrections from MCO representatives
• Communicate effectively
• Notarize documentation
• Comply with applicable legal requirements, standards, and policies, and procedures
• Maintain necessary skills and knowledge to coordinate workflow
• Exhibit intermediate level of computer efficiency
• Demonstrate effective problem-solving and decision-making skills
• Participate in professional development and training activities
• Creates weekly finance reports
• Train New Employees
• Manage Department of Social Service background check for Caregivers
• Other duties as assigned

Job Duties.

• Provide excellent customer service to internal and external clients.
• Handle inbound and outbound phone calls, providing accurate answers to queries and concerns.
• De-escalate situations involving dissatisfied customers, offering assistance, and support.
• Provide administrative and clerical support, including mailing, scanning, faxing, and data entry tasks.
• Process forms and documents in relevant systems.
• Support accounts receivable efforts by auditing service authorizations for accuracy, and facilitating corrections from MCO representatives.
• Communicate effectively.
• Comply with applicable legal requirements, standards, policies, and procedures.
• Maintain the necessary skills and knowledge to coordinate workflow.
• Exhibit an intermediate level of computer efficiency.
• Demonstrate effective problem-solving and decision-making skills.
• Participate in professional development and training activities.
• Other duties as assigned.

• Provide accurate and complete data input for pre-certification request and for providing excellent customer service
• Handle all functions of the authorization process including initiation, tracking and status follow-up for patients to ensure authorization and re-authorization for coverage of services
• Verify Medicare, commercial insurance and Medicaid coverages and request initial authorization and re-authorization of home health visits
• Collect information required by the insurance company to render authorization decisions
• Contact patients for updated insurance information
• Assist with month end reporting and logistical and/or problem resolution related to patient's medical record, authorization, and billing issues

• Schedule and reschedule appointments
• Patient access and registration duties
• Scan and attach any and all documents such as insurance cards, ID, Referrals
• Insurance verification
• Mentor Dental residents/students regarding office operations and insurance practices
• Assisting patients, students, residents and faculty
• Update and prepare documentation for Interdisciplinary team meetings
• Answering phones
• Collecting copays/payments, Check- in, and Check-out

• Schedule and reschedule home and facility daily visits for field staff
• Communicate with physicians about orders and patient progress information
• Scan and attach documents as needed to ensure Medical Record is complete and accurate
• Follow up on weekly Order Tracking Report
• Ensure authorization and reauthorization for patient's coverage services
• Verify Medicare, commercial insurance, and Medicaid coverages
• Process client workflow, coordination notes and administrative tasks within HCHB application
• Update and prepare documentation for Interdisciplinary team meetings
• Organize Medical supply room

• Prepare patient assessment packets, including admission, recertification and post hospital
• Process signed and unsigned orders and 485s
• Scan and attach documents as needed to ensure Medical Record is complete and accurate
• Follow up on Order Tracking Report weekly
• Copy documentation and assist with ADR and other pre & post payment documentation preparation
• Assist AS/HRD in answering telephone calls for Agency, screen individual calls and route patient care calls to CFSS and scheduling calls to PSC
• Process client workflow, coordination notes and administrative tasks within HCHB application timely

• Provide accurate and complete data input for precertification request
• Handle all administrative and technical functions of authorization process
• Verify Medicare, commercial insurance and Medicaid coverages as well as requesting initial authorization and re-authorization of home health visits
• Collect information required by insurance company to render authorization decisions
• Contact patients for updated insurance information
• Assist management in month end reporting and assist with logistical and/or problem resolution related to patient's medical record, authorization, and billing issues
• Act as resource person for referral sources and works closely with Agency staff to ensure that adequate coordination and transition occurs

• Answer telephone for Agency, screen individual calls and route patient care calls to CFSS
• Set up and maintain phone system
• Maintain and order office supplies according to agency protocols
• Process job applicant's information and personnel file information
• Order and distribute medical supplies according to Agency protocols
• Process incoming and outgoing mail daily