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$22/hr–$27/hr
Full-time
associate degree
Posted 2d ago
~40 hrs/week
Responsibilities
The role is responsible for managing order compliance and provider credentials to ensure regulatory adherence and positive cash flow. Key tasks include monitoring order lifecycles, verifying provider licenses, and maintaining physician demographics in the system.
Requirements
An associate degree is required, or alternatively, at least 2 years of experience in medical records or a healthcare setting. Candidates should possess strong critical thinking skills and a familiarity with medical terminology.
Full job description
Role and Responsibilities: Responsible for all activities related to order compliance and management of provider credentials and demographics in system(s); this position assures optimal regulatory compliance and contributes to positive cash flow.
Essential Functions
Monitor orders which are in the Mosia escalations folder and perform necessary follow-up.
Provide education and support to Medical Records staff as it pertains to Mosia and indexing, to ensure timely and appropriate follow-up.
Monitor reports and Mosia tracking features to assure goals of Orders Lifecycle are met.
Perform follow up related to timely receipt of unsigned Orders including: Calls to physician offices and communication with Clinical team members/ managers to resolve issues as needed.
Elevate unresolved issues to Team Leader or Manager
Document actions in system to support compliance with internal policies and regulatory guidelines
Verify credentials including: licensing, NPI, PECOS, OPRA, and OMIG/OIG/GSA sanctions, for new Providers. and update system accordingly.
Monitor and maintain Add/Change Physician workflow, including: provider additions and changes, updating provider demographics, delivery methods, as well as changes in corresponding orders as needed.
Develop working relationships with Physician offices
Mail, track, and file signature attestation letters for new MDs.
Communicate regularly with manager to ensure maximum compliance with orders
Other duties as assigned.
This job description reflects management’s assignment of essential functions; and nothing in this herein restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
Education / Experience Requirements
Associates degree required; in lieu of degree, at least 2 years’ experience in Medical Records, or experience in a healthcare setting with a full understanding of a Medical Records Specialist role.
Qualifications
Medical knowledge/ terminology a plus.
Demonstrated ability to apply critical thinking to tasks.
Outstanding customer service and communication skills.
Work Environment
The Compliance Specialist is primarily in an office setting and may be exposed to outdoor conditions.
The working conditions are classified as sedentary work:
Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
Physical Requirements
The following is a description of the physical requirements on a daily basis for the Compliance Specialist. While performing the duties of the job the employee is regularly expected to:
Advancing Health for All Through Compassionate Home Care | Serving Rochester, Finger Lakes, Central NY & North Country
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1978
Headquarters
Rochester, NY
LinkedIn followers
2,941
HCR Home Care, a leader in Home Health Care for over 45 years, is committed to providing the best quality patient care and superior service, and we now service 25 counties across New York State. HCR is an employee-owned company, offering YOU an active partnership in our business. Our employees play an important role in treating people and keeping them safe and healthy in the comfort of their own homes, and we believe our employees are the reason HCR is able to provide award-winning home care. Consider a career at HCR! We offer competitive pay and benefits, continuing education and training opportunities, and utilize state-of-the-art technology.
HCR has been providing care management services through New York's Medicaid Health Home program since 2013. In 2016 HCR launched HCR Care Management, LLC, in support of this growing business. Care Managers oversee and provide access to services for patients enrolled in the program. We are continually looking for additional Care Managers and other support staff as we continue to expand this business.
Offices: 85 Metro Park, Rochester, NY 14623, US · 290 Elwood Davis Rd, Suite 104, Liverpool, New York 13088, US · 297 Main St, Oneonta, New York 13820, US · 176 US Oval, Plattsburgh, New York 12903, US · 16 Pearl Street, Suite 700, Glens Falls, New York 12801, US
Home CareHome Health AidesRegistered NursesPhysical TherapistsOccupational TherapistsSpeech/Language TherapistsMedical Social WorkersRegistered Dietitiansand LGBT Safe ZoneHealth Care
Advancing Health for All Through Compassionate Home Care | Serving Rochester, Finger Lakes, Central NY & North Country
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1978
Headquarters
Rochester, NY
LinkedIn followers
2,941
HCR Home Care, a leader in Home Health Care for over 45 years, is committed to providing the best quality patient care and superior service, and we now service 25 counties across New York State. HCR is an employee-owned company, offering YOU an active partnership in our business. Our employees play an important role in treating people and keeping them safe and healthy in the comfort of their own homes, and we believe our employees are the reason HCR is able to provide award-winning home care. Consider a career at HCR! We offer competitive pay and benefits, continuing education and training opportunities, and utilize state-of-the-art technology.
HCR has been providing care management services through New York's Medicaid Health Home program since 2013. In 2016 HCR launched HCR Care Management, LLC, in support of this growing business. Care Managers oversee and provide access to services for patients enrolled in the program. We are continually looking for additional Care Managers and other support staff as we continue to expand this business.
Offices: 85 Metro Park, Rochester, NY 14623, US · 290 Elwood Davis Rd, Suite 104, Liverpool, New York 13088, US · 297 Main St, Oneonta, New York 13820, US · 176 US Oval, Plattsburgh, New York 12903, US · 16 Pearl Street, Suite 700, Glens Falls, New York 12801, US
Home CareHome Health AidesRegistered NursesPhysical TherapistsOccupational TherapistsSpeech/Language TherapistsMedical Social WorkersRegistered Dietitiansand LGBT Safe ZoneHealth Care