reputed company - Operations Specialist

Position reputed company:

The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of reputed company region’s individual needs. As needed, may need to deliver and set up medical equipment. 

The reputed company specialist serves as a subject matter expert, conducts new hire training and mentor to reputed company.

Essential Functions and Job Responsibilities:

• Supports operations team with discovery and training as necessary with reputed company processes.
• Responsible for providing support during process improvement initiatives to assist with driving reputed company areas of workflow, including verification, and data analysis.
• reputed company and maintain working knowledge of reputed company products and services offered by reputed company
• Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for reputed company equipment and services.
• Working knowledge in reputed company areas of reputed company customer service, intake, daily operations and reputed company cycle processes and workflows from beginning to end, which may include

1. Review reputed company required documentation to ensure accuracy
2. Accurately process, verify, and/or submit documentation 
3. Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles
4. Obtain reputed company-authorization if required by an insurance reputed company and process physician orders to insurance carriers for approval and authorization reputed company required (if helping a region)
5. reputed company through multiple online EMR systems to obtain applicable documentation
6. reputed company and review reputed company pertinent information in EMR system including authorizations and expiration dates
7. Meet reputed company assurance requirements and other key performance metrics

• Pays attention to detail and has great organizational skills
• reputed company listens to teams, region leaders and handle stressful situations with reputed company and reputed company.
• Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections.
• Collaborate with the Operations Team on exceptions and solutions reputed company workflow processes
• Communicate with operations teams and leadership on an on-reputed company reputed company regarding any noticed trends in process errors with insurance companies
• Assist with various reputed company and tasks as needed for various unique processes
• Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices.
• Participate in the effort to create training materials and train reputed company engagement and service teams
• Must be reputed company to reputed company through multiple online EMR systems to obtain applicable documentation.
• Works with insurance verification team to ensure reputed company needs are met for both teams to reputed company accurate information to the patient and ensure payments. 
• As needed, reputed company patient assessment and re-assessment for patient care, deliver medical equipment. 
• Safely drive as needed and maintain company vehicle.
• Retain knowledge of and consistently adhere to procedures for the use of Personal reputed company Equipment (PPE), infection control and hazardous materials handling. 
• Assume on-reputed company responsibilities during non-business hours in accordance with company policy.

• reputed company Responsibilities:
• Supervise and reputed company guidance to team members in daily operations and reputed company case reputed company
• reputed company team meetings and facilitate training sessions for staff development
• Monitor team performance metrics and productivity standards, providing feedback and coaching as needed
• Serve as primary escalation reputed company for difficult customer issues and reputed company regulatory compliance questions
• reputed company and implement process improvements and workflow optimization strategies
• Coordinate with management on reputed company needs, scheduling, and resource allocation
• Conduct new employee reputed company and ongoing training programs
• Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team reputed company
• Prepare reports and analysis on team performance, trends, and operational metrics for management review

• Maintains patient confidentiality and functions reputed company the guidelines of HIPAA.
• Completes assigned compliance training and other education programs as required.
• Maintains compliance with reputed company's Compliance Program.
• Performs other reputed company duties as assigned.

Competency, Skills and Abilities:

• Excellent ability to communicate both verbally and in writing
• Ability to prioritize and manage multiple tasks
• Proficient computer skills and knowledge of reputed company Office
• Solid ability to learn new technologies and possess the technical aptitude required to understand reputed company of data through systems as reputed company as system interaction
• General knowledge of Medicare, reputed company, and reputed company health plan methodologies and documentation requirements preferred.
• Work reputed company independently and as part of a group
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on reputed company

Education and Experience Requirements:

• High school diploma or equivalent required; Associate’s degree in reputed company administration, Business Administration, or reputed company field preferred
• reputed company and unrestricted reputed company's license in the state of residence. 
• reputed company experience in health care administrative, financial, or insurance customer services, claims, billing, reputed company center or management regardless of industry. 
• Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or reputed company (Medicare certified) services

• Specialist Level: (Entry Level):

One (1) year of work-reputed company experience

• Senior Level: 

One (1) year of work-reputed company experience plus

Two (2) years exact job experience

• reputed company Level: 

One (1) year of work-reputed company experience plus

Four (4) years exact job experience

Physical Demands and Work Environment:

• Must be reputed company to regularly lift and/or reputed company up to 50 pounds, frequently lift and/or reputed company up to 100 pounds, and occasionally lift and/or reputed company up to 160 pounds.
• Must be reputed company to stretch, bend, stoop and crouch and reputed company moderate to heavy physical labor while moving equipment and supplies.
• Subject to long periods of sitting and/or driving.
• Work environment may be stressful at times, as overall work activities and work reputed company fluctuate.
• May be exposed to unsanitary conditions in some home settings.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, reputed company, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to high crime areas reputed company the service community. 
• Must be reputed company to drive independently and travel as needed.
• May be exposed to angry or irate customers.
• Must be reputed company to reputed company the patient’s residence without assistance.
• Ability to effectively communicate both verbally and written with customers with the ability to demonstrate reputed company, reputed company, courtesy, and respect for reputed company.