Front Desk Admin
hace 12 días
Las Vegas
Job Description • Answer multi-line phones, screen, and route calls from patients, families, physicians, and insurance providers., • Handle initial client inquiries and help collect intake and referral documentation., • Relay urgent messages or changes in patient status to nurses, therapists, and field coordinators, • Assist in scheduling or adjusting visits for home care aides, nurses, and therapists., • Track staff or caregiver availability, schedule changes, and visit cancellations., • Dispatch replacement or on-call caregivers when urgent coverage is needed., • Maintain and update electronic and physical patient and employee files., • Scan, copy, file, and organize medical histories, physician orders, and service logs., • Follow up on missing, incomplete, or expired documentation to ensure regulatory and HIPAA compliance, • Process medical insurance verification, claims data, and client billing support., • Collect payments, record transactions, and prepare business correspondence or reports., • Manage office supplies inventory, place orders, and handle daily mail sorting and faxes., • Perform audits to keep the agency in compliance with regulations, • CNA certification is recommended but not required Desired Skills and Qualifications The ideal candidate should have: • Home health administrative experience, preferably with a Medicare- and Nevada Medicaid-certified home health agency., • Working knowledge of Medicare Conditions of Participation (CoPs) and the ability to help maintain documentation and records in preparation for surveys and audits. Centers for Medicare & Medicaid Services, • Familiarity with Nevada Medicaid Provider Type 29 – Home Health Agency/Private Duty Nursing requirements, including prior authorization processes, eligibility verification, claims-related documentation, and authorization deadlines. Nevada Medicaid, • Ability to maintain organized and survey-ready patient and personnel records, ensuring required documents, signatures, dates, physician orders, plans of care, certifications/recertifications, and supporting documentation are obtained and filed timely., • Knowledge of HIPAA, patient confidentiality, secure handling of PHI, and professional communication with patients, families, physicians, hospitals, insurance companies, and referral sources., • Ability to monitor physician orders and outstanding documentation, follow up with providers for signatures, and notify clinical leadership of incomplete or overdue records., • Experience tracking Medicaid prior authorizations and insurance eligibility, including expiration dates and documentation required for continuation of services. Nevada Medicaid specifically requires information such as diagnoses/ICD-10 codes, recipient needs, functional deficits, interventions, and measurable goals on home-health PA requests. Nevada Medicaid, • Ability to monitor employee compliance files, including licenses/certifications, background requirements, competency documentation, orientation, training, health documentation, and expiration dates as applicable to the employee's position and agency policy., • Strong understanding of quality assurance and compliance tracking, including maintaining logs for incidents, complaints, hospitalizations, missed visits, physician notifications, infection-control issues, and corrective actions., • Ability to assist with admissions and referrals, verify insurance information, obtain necessary documents, organize referral packets, and communicate efficiently with clinical staff., • Familiarity with EMR/home-health software, Microsoft Word, Excel, email, scanning, faxing, electronic filing, and document-management systems., • Strong attention to detail and deadline management. The employee should be comfortable maintaining compliance calendars and identifying missing documentation before it becomes a survey, billing, or authorization issue., • Excellent telephone etiquette, written communication, customer service, professionalism, organization, and ability to handle multiple priorities., • Willingness to complete ongoing Medicare, Medicaid, and Nevada regulatory training. Nevada Medicaid specifically provides training for office managers, admitting/front-desk staff, billing staff, and other provider personnel on policy, claims, enrollment, and authorization processes.\nCompany Description Join a growing home health team where your skills matter, your voice is valued, and your work makes a difference. At Eliana Home Health, we provide compassionate, high-quality care to patients in the comfort of their homes while creating an environment where healthcare professionals can learn, grow, and succeed. Come grow with us—and help us bring exceptional care home. Join a growing home health team where your skills matter, your voice is valued, and your work makes a difference. At Eliana Home Health, we provide compassionate, high-quality care to patients in the comfort of their homes while creating an environment where healthcare professionals can learn, grow, and succeed. Come grow with us—and help us bring exceptional care home.
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