Job Title: Medical Billing Specialist
Department: Compliance/Operations
Reports To: Compliance Team Lead

Job Summary:

The Medical Billing Specialist oversees and verifies EVV records to ensure federal and state regulations compliance. This role involves scrutinizing EVV data, resolving discrepancies, and communicating with direct support workers and clients to ensure accurate documentation and verification of home care services.

Key Responsibilities:

• Daily EVV Monitoring: Review and verify EVV records for compliance, resolving issues like missed logins, usage discrepancies, and unapproved locations.
• Issue Resolution: Communicate with direct support workers and clients to address and correct EVV discrepancies.
• Timecard Approval: Oversee and assist with the daily approval of timecards to ensure accuracy and compliance.
• Data Entry: Document communications and corrections in the AllCare system, maintaining detailed records.
• Data Analysis: Analyze EVV data to identify non-compliance patterns and prepare reports on findings.
• Training and Support: Provide training and support on EVV usage and compliance, updating training materials as needed.
• Compliance Audits: Assist with routine and random audits of EVV records, supporting corrective actions.
• Reporting and Documentation: Maintain records of monitoring activities and issue resolutions, submitting daily reports to management.
• Stay Informed: Keep up-to-date with EVV regulations and industry best practices, implementing necessary changes to internal policies.

Qualifications:

Education: High school diploma or equivalent required; associate's or bachelor's degree preferred.

Experience: Minimum 1 year in a monitoring, compliance, or administrative role within healthcare, with EVV system experience preferred.

Skills: Strong analytical, problem-solving, and organizational skills. Proficient in Microsoft Office, with excellent communication abilities.

Working Conditions: Office environment, with potential extended hours during peak periods or urgent compliance issues.

Note: Seeking candidates with H4-EAD, Green Card, Green Card EAD, or U.S. Citizenship for this opportunity.

Thanks,
Chandra
216-303-1781

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