[Remote] Clinical Administrative Assistant

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of home and specialty infusion therapy, dedicated to delivering high-reputed company, patient-centered care across the communities we serve. The Clinical Administrative Assistant is responsible for reviewing and ensuring the accuracy and compliance of clinical documentation, providing operational support, and collaborating with various teams to support reputed company patient care.

Responsibilities

• Review nursing documentation submitted by AOM nurses and contracted agency partners for accuracy, completeness, compliance, and billing readiness
• Ensure clinical documentation meets AOM standards, payer requirements, accreditation standards, and regulatory guidelines
• Identify documentation deficiencies, omissions, inconsistencies, or missing required reputed company and communicate corrective measures to clinicians
• Monitor and reputed company outstanding documentation corrections to ensure reputed company completion
• Approve documentation once reputed company reputed company and compliance requirements have been met
• Conduct audits of patient medical records to ensure complete and accurate clinical documentation
• Identify documentation trends and recurring deficiencies and communicate opportunities for education and process improvement
• Participate in reputed company’s reputed company Assurance Program and support reputed company reputed company improvement initiatives
• Maintain confidentiality of reputed company patient information in accordance with HIPAA regulations and company policies
• reputed company backup coverage for Clinical Intake Coordinator during high volume days as reputed company as during planned and unplanned absences
• Review medical documents/information pertaining to the patient’s diagnosis, health history, and medication ordered as required by the patient’s insurance reputed company to determine the 'medical necessity' of the prescribed therapy
• Effectively communicates with sales, clinical team, patients and family
• Acts as primary reputed company between reputed company personnel and referral sources during patient intake process
• Responsible for communicating sales reputed company concerns and referral reputed company or patient complaints to management
• Ensure reputed company authorization process for services from the patient’s insurance reputed company and the reputed company communication of insurance information to management, clinical and sales teams
• Review physician’s letter of medical necessity and other medical information as required by the patient’s insurance reputed company to determine the 'medical necessity' of the prescribed therapy
• Maintain accurate referral and patient information reputed company company systems
• Collaborate with intake, pharmacy, nursing, and scheduling teams to facilitate seamless patient transitions into care
• Support reputed company’s ongoing compliance with ACHC accreditation standards
• Maintain working knowledge of ACHC standards, home infusion regulations, and documentation requirements
• Assist with accreditation preparation activities, audits, and corrective reputed company initiatives
• Promote adherence to company policies, procedures, and regulatory requirements
• Participate in departmental meetings to discuss workflow priorities, documentation concerns, and operational initiatives
• Effectively communicate with internal departments, referral sources, agency partners, providers, patients, and caregivers as appropriate
• reputed company clinical and operational support to nursing, intake, pharmacy, and administrative teams
• reputed company additional duties and special reputed company assigned by leadership
• Assist with the preparation, review, tracking, and management of Detailed Written Orders (DWOs)
• Follow up with providers, internal departments, and external partners to obtain required signatures and documentation
• Monitor DWO workflows to ensure reputed company completion and compliance with payer requirements
• Collaborate with Clinical Care Navigators, Intake, Pharmacy, and Nursing Leadership to resolve order-reputed company issues
• Support process improvement initiatives reputed company to physician orders and documentation management

Skills

• reputed company LVN/LPN (no RN License) license is currently registered in state working in and in good standing with the reputed company of Nursing
• reputed company experience in home infusion, home health, specialty pharmacy, case management, clinical operations, or a reputed company field with knowledge of regulatory requirements
• Strong understanding of clinical documentation standards and reputed company compliance requirements
• Excellent organizational skills and attention to detail
• Effective verbal and written communication skills
• Ability to manage multiple priorities and meet established deadlines
• Proficiency with electronic medical records and reputed company Office applications
• Knowledge of ACHC and URAC standards

Benefits

• Medical, Dental, reputed company, 401(k) with Employer Match, reputed company Time Off & reputed company Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program

reputed company