Operations Specialist - Billing
As an Operations Specialist, you will be an integral part of the team, contributing to the seamless functioning of various office operations. This multifaceted role requires a versatile professional with expertise in customer service, personnel and operations support. The successful Operations Specialist will excel in a dynamic environment, demonstrating the ability to handle diverse tasks efficiently.
The Operations Specialist is responsible for providing top level customer service to internal and external clients as it relates to branch location’s clinical operational support activities.
- Conducting all billing via Aveanna policies and procedures.
- Conducting/managing monthly insurance verifications for all active clients receiving therapy or private duty nursing.
- Requests Private Insurance Authorizations when applicable
- Verifies payer information and benefit plans for new clients and communicates information to location management
- Manages Pending Report to keep total in line with Regional expectations
- Uses Accounts Receivable report to identify patients where we have collections issues and develop plan for correction
Office Support Activities:
- Scanning and/or filing of documentation and records
- Assist in answering of incoming calls and ensuring accurate messages are taken and given to the appropriate staff member
- Mail distribution to appropriate staff member or department
- Process invoices according to branch location guidelines
- Office supply orders
- Perform special projects as needed
Requirements
• High school diploma or GED
• Proficient typing skills
• Proficient Microsoft Office skills
• Medical Billing Experience
• Private duty, home care or health care company experience
• Advanced Microsoft Excel skills
• Two (2) years general office experience Other Skills/Abilities
• Must maintain company and employee confidentiality at all times
• Must maintain professional boundaries at all times
• Ability to remain calm and professional in stressful situations
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Excellent organization and communication skills Physical Requirements
• Must be able to speak, write, read and understand English
• Occasional lifting, caring, pushing and pulling of up to 25 pounds
• Must be able to lift 50 pounds
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity Environment
• Performs duties in an office environment during agency operating hours
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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