Available Positions

Job Description Billing Clerk

Report to: Finance

Department: Director of Reimbursements

Position Summary:

Compiles service data, prepares invoices for claim statements, maintains accurate claim statement records and processes claims in a timely manner, as established by Agency protocol. Maintains accurate statistical data records involving client services provided, claims and accounts receivable. Responsible for timely response to payer information requests and Medicare Credit Balance Report submission.

Position Qualifications:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Daily Duties:

• Assumes the backup responsibilities for entering visit slips in computer system each day, as received.
• Posts all distributed medical supplies to each client’s account.
• Follows up on claims that have been submitted for payment for more than sixty days, for all payers.
• Answers questions for payers regarding submitted claims.
• Files all pre-billing worksheets and unpaid claims on the pre-billing worksheet.
• Prepares and submits adjustments to Medicare, third party payers and clients, as required.

Weekly Duties:

• Develops and prints a working list of all patients with active visits during the specified period.
• Assures alt patient visits occurring during the specified period have plan of care (485’s) and verbal orders signed by the physician prior to submitting claims.
• Prepares a working list of Medicare claims for electronic claim submission for the specified period.
• Prepares an Absent Data Report for the specified working list(s), connecting any absences noted on the report.
• Submits Medicare claim file via electronic media every other week, on Wednesday, unless approval for late submission obtained by supervisor.
• Print and file copies of UB-92’s in a file folder for unpaid Medicare claims.
• Verify receipt of electronically submitted claim batch files with Medicare.

Private insurance monthly Billing:

• Develops and prints a working list of certifications and re-certifications occurring during the specified period.
• Assures all patients with active visits during the specified period have signed plan of cares (485’s) and verbal orders signed by the physician prior to submitting claims.
• Separates various working lists by primary payer.
• Prepares a working list of non-Medicare claims for “hard-copy” claim submission.
• Prepares an Absent Data Report for the specified working list(s), connecting any absences noted on the report.
• Prints UB-92 HCFA 1500 or client statements forms, as specified by payer requirements.
• Makes copies of all Plan of Care’s, clinical care notes, physician order, and any required authorization letters for submission with claim.
• Submits claim to payer via certified mail, with return receipt requested.
• Files copies of UN-92’s, HCFA 1500’s and client statements in a file folder for unpaid claims.

Additional On-going Duties:

• Performing computer data transfers daily.
• Posts all accounts receivable payments to the appropriate ledger accounts.
• Prepares requested documentation for all payers within requested time frame. Mails requested documentation via certified mail, with receipt requested.
• Submits information regarding all claim denials to immediate supervisor in a timely manner.
• Verify Medicare HIC numbers and all other insurance information and refer information to Agency staff.
• Assists other Agency staff members in developing reports from ‘Prompt”, as requested by the Chief Financial Officer, within the time frame specified.
• Completes additional projects as requested by the Chief Financial Officer, with the time frame specified.

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Job Description Director of Operations

Report to: ADMINSITRATOR

Revised: 01/12/2018

Job Summary:

Act as liaison between the Owners/Officers, the staff and the community. Responsible for the daily operations and quality of the personal assistance agency. Maintain a leadership role for the planning and achievement of objectives that are consistent with the company, business and financial goals.

Qualifications/Educational Requirements:

The director of operations must be at least 18 years of age, and be an individual who has evidence of at least one year of training and experience in direct health care service delivery with at least one year within the last five years of supervisory or administrative management experience in home health care or a related health program.

1. The director of operations must possess the following skills:
   • Must be a registered nurse with a public health, home health care, or hospital background
   • Must have at least one year clinical experience

Responsibilities/essential functions:

The person in this position must be able to perform the following essential job functions with or without reasonable accommodations.

1. Develop company and organizational goals.
2. Remain informed and educated about personal assistance regulations and standards as well as management issues. *
3. Promote interdepartmental cooperation and communication, which may result in mediation of faculty/staff disputes.
4. Develop employee excellence through recruitment, retention, training, motivation and reward.
5. Establish performance goals with supervisors and evaluate their performance.
6. Participate in strategic, short-range, and long-range planning for educational, client care, research, revenue, and public relations programs. *
7. Manage, control, coordinate, and supervise the fiscal activities of the agency, including funding development, budget negotiations, generation of client care revenue, and contract preparation, negotiation, and approval. *
8. Coordinates special department activities, including conferences, workshops, and other functions.
9. Monitor the record system and statistical reporting system for proper documentation, planning and evaluation.
10. Develop policies focused on client care in collaboration with the staff and the owners/officers
11. Develop employee excellence through recruitment, retention, training, motivation and reward. *
12. Oversee care delivery and client outcomes to ensure that care meets the clients’ needs. *
13. Monitor and take reasonable steps to ensure:
    1. Client rights are exercised. *
    2. Compliance with applicable Federal, State and Local laws and professional standards are maintained.*
    3. Compliance with established polices and procedures.*
    4. Compliance with the client’s plan of care.*
14. Ensure that the numbers and qualifications of personnel available to provide and supervise services are sufficient to implement the plans of care and treatment to meet the medical, nursing and rehabilitative needs of the clients.*
15. Assure accuracy of public information material and activities. *
16. Implement performance improvement priorities.
17. Complete a minimum of six (6) clock hours per year of continuing education in subjects related to the duties of the administrator and must include at least two of the following topics. *
    • Marketing;
    • Development and interpretation of agency policies;
    • Basic principles of management in a licensed health-related setting;
    • Ethics;
    • Quality improvement;
    • risk assessment and management;
    • Financial management;
    • Skills for working with clients, families, and other professional service providers, and/or
    • Community resources.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

The work environment and physical demands described here are representative of those required by an employee to perform to the essential functions of this job with or without reasonable accommodations.

Physical Elements

• Sufficient clarity of speech and hearing or other communication capabilities, with or without reasonable accommodation, to enable the employee to communicate effectively;
• Sufficient vision or other powers of observation, with or without reasonable accommodation, to enable the employee to review a wide variety of materials in electronic or hard copy form;
• Sufficient manual dexterity, with or without reasonable accommodation, to enable the employee to operate a personal computer, telephone, and other related equipment;
• Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to safely lift, move, or maneuver whatever may be necessary to successfully perform the duties of their position;
• Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to efficiently function in a general office environment; and
• Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to efficiently function in a general office environment, with frequent travel to a variety of field sites.

Environmental Elements

Employee works in an office environment with moderate noise levels, controlled temperature conditions and no direct exposure to hazardous physical substances. Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.

The above list reflects the essential functions and other job functions considered necessary of the job identified, and shall not be construed as a detailed description of all work requirements that may be inherent in the job, or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of responsibilities and job duties.

By my signature, I acknowledge that I have read and understand this job description and its requirement and that I am expected to complete all duties as assigned. I understand the job functions may be altered from time to time.

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Job Description General Office Clerk

Report to: Administrator

Department: Administration

Position Qualifications:

• High school graduate or equivalent
• Knowledge of & willingness to learn basic office procedures & use of equipment
• Willing to learn basic skills required for specific duties especially typing and Microsoft word applications.

Duties

• Maintains confidentiality regarding all agency records
• Performs basic office duties
• Maintains office filing systems as requested
• Files all documents appropriately
• Pages/call employees when required
• Answers telephone professionally and relay messages appropriately as required
• Responsible for copying documents as requested
• Gathers, collates and distributes incoming mail as requested
• General typing and correspondence as requested
• Organizes files and supply closets
• Organizes and adequately stores inactive records as required
• Maintains office stock as requested
• General housekeeping duties as requested
• Other duties as assigned

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Job Description HOME HEALTH AIDE/CNA

Report to: DIRECTOR OF NURSES

Department: CLINICAL

Position Summary:

Works under the supervision of the Director of Skilled Services or designated registered nurse. Provides direct patient care as assigned by the registered nurse. Provides quality and delivery of home health care services. Assists in the home health care services that reflect the home health care agency philosophy and standards of home health nursing care of assigned clients.

Position Qualifications:

• High school graduation required
• Home Health Aide certification required as obtained through successful completion of an approved program
• Evidence of sympathetic attitude toward care of the sick
• Demonstrated ability to read, write, and carry out directions
• Evidence of maturity and ability to deal effectively with job demands
• Good verbal and written communications skills required
• Attends twelve (12) hours of Aide oriented in services per year
• Participates in professional meetings when directed
• Shall have a criminal history check conducted prior to being offered permanent employment with this agency
• Is able to work closely supervised to ensure competence in providing patient care

Physical Requirements:

• Visual/hearing ability sufficient to comprehend written/verbal communication.
• Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing.
• Ability to deal effectively with stress.
• Able to work a minimum of 40 hours per week.
• Able to bend and stand an average of 6 hours per day.
• Able to lift up to 50-75 pounds.
• Able to write up to 3 hours per day.
• Able to work in a stressful environment.
• Able to drive 50-100 miles per day.
• Able to assess and communicate with ill patients, co-workers, and general public.
• Is neat in appearance and practice, with good personal hygiene.

May be employed by the agency if he or she has met the following conditions:

Home Health Aide is expected to pass competency examination with at least a 80% or better. The content of the competency evaluation of the agency will include is not limited to:

• communication skills
• observation, reporting, and documentation of a client’s status and the care or service furnished
• reading and recording temperatures, pulse, and respiration, and blood pressures
• basic infection control procedures and instruction on universal precautions
• basic elements of body functions and changes in body function that must be reported to the supervisor
• maintenance of a clean, healthy, and safe environment
• recognizing emergencies and knowledge of emergency procedures the physical, emotional, and developmental needs of and ways to work with the populations served by the agency including, the need for respect for the client and his or her privacy and property
• appropriate and safe techniques in personal hygiene and grooming that include:
  • bed bath
  • sponge, tub, or shower bath
  • shampoo, sink, tub, or bed
  • nail and hair care
  • oral hygiene
  • toileting and eliminating
  • safe transfer techniques and ambulation
  • normal range of motion and position
  • adequate nutrition and fluid intake
  • patient rights
  • any other task that the agency may choose to have the home health aide perform

Duties:

1. Ensure quality and safe delivery of home health care services.
   • Participates in development and implementation of client plans of care per home health care agency policy and procedure, as appropriate.
   • Participates in client case conferences according to home health care agency policy and procedure, as appropriate.
   • The provided home health aide services reflect client plans of care.
   • Information regarding client plans of care is submitted to the Home Health Care Registered Nurse in a timely manner.
2. Implements current Home Health Aide services.
   • Client plans of care are discussed with the Home Health Care Registered Nurse on regular basis.
   • Client clinical records are documented per Home Health Care agency policy and procedure.
   • Client assignments and reports are received from the Home Health Care Registered Nurse.

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Job Description HUMAN RESOURCES / PAYROLL COORDINATOR

Report to: CHIEF FINANCIAL OFFICER

Department: HUMAN RESOURCES/PAYROLL

Position Summary:

Responsible for ensuring agency compliance with all aspects and levels of Federal, State and local laws, regulations and standards. Compiles payroll data to maintain payroll records by personally following the specified duties.

QUALIFICATION REQUIREMENTS:

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Responsible accommodations may be made to enable individuals with disabilities to perform the essential functions,

LANGUAGE SKILLS:

Ability to read and comprehend simple instructions, short correspondence, and memos, Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization,

REASONING ABILITY:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

OTHER SKILLS AND ABILITIES:

Basic computer skills required, Ability to utilize basic computer software integral to agency operations after initial training period.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, The employee may be required to lift and/or move up to 25 pounds, Ability to work in a stressful environment and to effectively deal with stress may be expected.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may me made to enable individuals with disability to the work environment is critical. The noise level in the work environment is usually moderate,

DUTIES AND RESPONSIBILITIES: (OTHER DUTIES MAY BE ASSIGNED)

• Prepares, maintains, develops and updates essential payroll record; and other historical and forecasting financial reports as directed by the Administrator and/or Chief Financial Officer,
• Assists in preparation of reports required by regulatory agencies as directed by the Administrator and/or Chief Financial Officer.
• Compiles payroll data such as hours worked, visit slips, paid time off requests, expense reports and mileage reports from time records and other documents. Coordinates with DON/CFO when required.
• Calculates all mileage for those employees paid for mileage and all hours for hourly personnel.
  • Prepares computer input forms, corrects data into computer films, and/or computes wages and deductions and posts to payroll records.
  • Reviews wages computed and corrects errors to ensure accuracy of payroll.
  • Prepares payroll reports for preparation of payroll and after payroll completed forwards reports to appropriate individuals.
  • Responsible for filing and placing all documents in personnel files and contacting employees to maintain timeliness of submitting documents. Reports staff with consistently delinquent documents and expired license to DON/ADON.
  • Maintains all medical information, wage slips and 1-9 form in separate files.

SUMMARY OF JOB FUNCTIONS:

1. Follows and assists in establishing organization-wide programs, policies and procedures to ensure compliance with all federal, State and local laws, regulations and standards (051-IA, Medicare, Medicaid, the ADA, Labor Board, etc.) that affect Human Resources and Payroll.
2. Assists in maintaining an effective system for interviewing, hiring, disciplining, and terminating employment of personnel in all classifications.
3. Maintains all employment documentation records, logs, etc. in a neat, orderly and updated manner while observing Confidentiality.
4. Coordinates Benefits Program.
5. Participates in development of job classifications and job descriptions along with the DON and Administrator.
6. Educates staff on employee rights and all new and updated Human Resources/Payroll policies and procedures.
7. Performs all other duties as required and assigned.

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Job Description Intake Coordinator / Data Entry Operator

Report to: Administrator/Office Manager

Position Summary:

Under general supervision, coordinates and performs the preparation, data entry, verification, and editing of complex, typically confidential data.

Position Qualifications:

• High school diploma or GED with 2 years experience directly related to the duties and responsibilities specified.
• Competent in computer programs, such as, personal assistance software, MS Word and Excel as well the ability to use standard office equipment.

Responsibilities/Essential Functions

• Check, verify, and edit data coding to ensure compatibility with data entry system and procedural requirements. Interact with department representatives to resolve routine data coding problems.
• Receive and route associated source paperwork to and from staff members. Work with department representatives as necessary to facilitate and expedite the efficient flow of documentation, and to resolve routine administrative problems.
• Input and retrieve alphabetical and numerical information in prescribed format, using knowledge of computer software packages.
• Create, maintain, and purge specified data files and logs as required. Make individual and/or mass corrections, modifications, and/or updates to data in files, as appropriate.
• Extract and release information according to specified criteria and in strict compliance with established policies, procedures and/or regulations. Answer questions from client departments and others on specific data as requested, and prepare reports.
• Ensure strict confidentiality of client records according to Policy and Procedures.
• May lead, guide, and allocate work to employees on a task-by-task basis.
• Maintain tracking of clinical and field staff notes.
• Communicate effectively, both orally and in writing.
• Make administrative and procedural decisions and judgments on sensitive, confidential issues.
• Knowledge of computer data entry systems, protocols and procedures.
• Knowledge of relevant policies, procedures, and regulations pertaining to the release of confidential information.
• Resolve data input, storage and/or retrieval problems and to design solutions and modifications.
• Interact with other staff members to resolve problems and inquiries.
• Establish and maintain efficient data and information flow.
• Operate as a primary source of information on specialized data files and records for both internal and external clientele.
• Resolve problems and inconsistencies with data. Perform limited data analysis, and prepare and generate various reports.

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Job Description LICENSED VOCATIONAL NURSE/LPN

Report to: DIRECTOR OF NURSES

Department: CLINICAL

SUMMARY 0F JOB FUNCTIONS:

Provides nursing services in the patient’s home in accordance with agency standards and applicable laws and regulations. Ensures that patients receive the highest possible quality of care.

POSITION QUALIFICATIONS:

• Graduate of an approved school of vocational nursing, currently licensed as a Licensed Vocational Nurse in the State of Virginia or any Compact State.
• Two (2) years of experience in home health care or related health field. Car with required proof of insurance coverage and a Virginia Driver’s license
• Knowledge of all types of home health equipment utilized by patients as well as forms and paperwork necessary for documentation

PHYSICAL REQUIREMENTS:

• Able to work a minimum of 40 hours per week.
• Able to bend and stand an average of 6 hours per day.
• lift up to 50 – 75 pounds.
• Able to write up to 3 hours Able to per day.
• Able to work in a stressful environment.
• Able to drive 50-100 miles per day.
• Able to assess and communicate with ill patients, co-workers, and general public.

STANDARDS OF PERFORMANCE:

• Clinical (Direct Patient Care)
• Administration
• Education

DUTIES:

• Ensures quality and safe delivery of home health care services.
• Implements current nursing practice.
• Fulfills additional performance responsibilities as assigned and as necessary.
• Promotes effective written/verbal communication.
• Gives accurate information to clients and client families regarding costs for home health care services.
• Provides information regarding equipment and supply needs of the home health. Care agency.
• Uses equipment and supplies effectively and efficiently.
• Participates in salary programs following approved home health care agency policies and procedures.
• Complies and home health agency policies and procedures.
• Promotes and maintains an agency environment that is in compliance with federal state, and local regulatory agencies
• Promotes education for home health care staff members.
• Promotes education for clients, client families, and the community.
• Participates in personal professional growth and development.
• Completes all required documentation in accordance with the standards of the agency, and regulatory requirements.
• Works effectively with the medical staff, other members of the health care team and administrative personnel. Maintains a cooperative working relationship.

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Job Description Marketing

Report to: Administrator

Position Summary:

Implement and executes sales/marketing plan that will meet or exceed the company’s overall business plan, census goals and financial objectives.

Position Qualifications:

• High School Education
• Two years of college preferred.
• Two years of experience in healthcare marketing preferred.
• Excellent written and verbal communication skills.
• Ability to handle multiple tasks simultaneously and meet deadlines.
• Excellent organizational and time management skills.
• Self-starter

Responsibilities/essential functions

• Develop, implement and execute sales/marketing plan for all company product/service offerings, consistent with market analysis, reflecting referral source targets.
• Responsible for census development through the implementation of external and internal sales & marketing programs with both existing and new accounts.
• Ability to effectively utilize both local and corporate resources in the execution of job responsibilities.
• Identify and recommend development of new product/service/niche markets & offerings as well as current product/service enhancements.
• Ensure that administration maintain up-to-date key account records including background, contact history, objectives, referral trends, etc.
• Review records to ensure that Account Executives are properly managing resources, including their time.
• Ability to develop an adequate knowledge of State, Federal and other regulatory requirements related to the facility.
• Maintain up-to-date information, as needed, on specifically assigned competitors including pricing, census, product information, and marketing strategies.
• Report progress versus goals and census development barriers to the Administrator.
• Perform sales calls with Administrator on a monthly PRN basis.
• Contact key physicians and other health care representatives on a regular basis.
• Perform sales call with Account Executives on a routine basis.
• Participate in short and long range planning for the agency and implements specific measures for agency growth. Increase market share through education of physicians and other community and referral sources.
• Work with other agencies and promotes good community relations through involvement in community events.

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Job Description Registered Nurse

Report to: DIRECTOR OF NURSES IN THE ABSENCE OF DON REPORTS TO SUPERVISING RN

Department: CLINICAL

Position Summary:

The Registered Nurse is responsible for the delivery of patient care services through coordination, implementation, and supervision of the patients. The registered nurses follows the POT and supervises the staff delivering care. The Registered nurse participates in quality improvement activities within the Agency promoting overall compliance with State and Federal guidelines and professional standards of practice.

Position Qualifications:

• Must be a registered nurse with a public health, home health care, or hospital background
• Must have at least one year clinical experience

Physical Qualifications:

• Must be able to hear and speak in a manner understood by most persons.
• Must be able to travel to prospective patient’s place of residence
• Must be able to stoop and bend; must be able to lift and transfer patients

DUTIES AND RESPONSIBILITIES:

Demonstrates leadership and provides direction to members of the patient care team through case management of patient home health episode of health care. Case management of patient services includes:

1. Intake and coordination of a referral from an acceptable referral source
2. Initial in home evaluations and/or assessment
3. Establish the patient’s individualized treatment and medical record baseline
4. Collaborate with physicians, other agency staff and contract services to coordinate and implement the POT
5. Supervise the implementation of the POT and the quality of care delivered to the patient
6. Provide in home supervision of Home Health Aide Services at least every 14 days for patient receiving aide services and document the visit in the medical record
7. Provide supervision of LVN’s assigned to patient caseload, through directing the implementation and evaluating the effectiveness of the nursing care and patient’s plan of treatment
8. Re-evaluate the patient plan of treatment at least every 60 days and when there is a change in the patient condition, after a hospital stay, and a time of discharge revising the Plan of Treatment as needed to achieve patient goals.
9. Documents direct patient services, coordination and collaboration with physician and other disciplines or provides in the care of the patient, ensuring document is complete, and complies with acceptable home health standards and Agency policy.
10. Facilitates active and effective communication with team members as demonstrated through leadership of patient case conferences staff education or in services, and timely clinical decisions which provide guidance in the delivery of patient care.
11. Documentation is timely and meets professional standards of practice, establishes compliance with state regulations and Medicare conditions of participation.
12. Reviews caseload charts documentation at least every 60 days to ensure compliance assess patient progress and effectiveness of care delivery in meeting patient goals.

• Provides patients and staff supervision 24 hours a day when assigned on-call
• Collaborating with leadership/management team and office staff to facilitate timely office processing of paperwork and personnel information
• Actively participates in Agency quality improvement activities
• Promote the Agency and services to the public and participate in physician and community education related to services provided by the agency as registered
• Performs other duties as assigned
• Maintains responsibility to develop professional self-attend seminars, and identify self -learning needs, collaborates with agency leaders in meeting learning needs

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