Job Type

Full-time
Description
Adoray Home Health and Hospice is a local non-profit in Western Wisconsin providing Hospice, Palliative, and home health services and we are looking to add another member to their Enrollment team! This team focuses on our referrals while being detail oriented and highly motivated in a busy environment!
POSITION SUMMARY
The Enrollment Assistant's main responsibility is assisting the Home Health Enrollment Coordinator in processing incoming Home Health referrals and providing backup administrative assistance to other Enrollment Team members as needed.
ESSENTIAL DUTIES AND RESPONSIBILITIES

• Works with referral source to obtain missing required initial data/documentation needed to process HH new referrals.
• Responsible for accurately verifying Medicare insurance eligibility and creating service agreements for new referrals.
• Determines if prior authorization is required and notifies billing team as appropriate.
• Assists with processing referrals, as directed (i.e., faxing to MD, pharmacy, DME, etc.).
• Thoroughly documents all enrollment coordination activities.
• Manages HH Document Tracking (Doc Tracking): Sends/faxes documentation for physicians to sign for HH services, tracks return status, calls on missing signature for HH (POCs & VOs)
• Monitors Document Fax History to ensure all outgoing faxes were successfully transmitted, resends any failed faxes (including missed visits)
• Enters HH medication lists into Matrix for new admissions.
• Print/mail medication profiles to newly admitted HH patients.
• HH Tracking for ROC/SOC Records: Admit date, PCP, H&P, DC Summary, F2F, Procedure Notes, DX List/Problem List/Medical HX
• Mails HH patients their copies of requested forms (i.e. ABN, NOMNC, HHCCN)
• Mails HH SA's to POA's who count be at the SOC
• For missing HH Service agreements that are not present, conducts follow-up with the appropriate discipline and tracks to completion
• Apart of the Adoray Office phone rotation
• Supports the Enrollment Team with processing new HH referrals: Enters the required fields in Referral Central to create a new chart for incoming referrals, screening service location and insurance, and rejecting referrals that are out of service area and/or Adoray is not in network for their insurance. Notifies team of new referrals.
• Adds new vendors, MDs, and facilities to the EMR as needed.
• Backup to the Enrollment Assistants as needed with data entry of new patient information and creating new patient charts in EMR system.
• Other duties as assigned.

Requirements
Minimum Qualifications

• Graduate of two-year business school with a health care emphasis or equivalent preferred.
• Familiar with medical terminology.

Knowledge, Skills and Abilities

• Display and promote high standards of ethical conduct and behaviors consistent with organizational standards
• Exhibit excellent communication and organizational skills
• Working knowledge of Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Ability to manage conflicting priorities and handle multiple tasks/projects concurrently
• Ability to consistently carry out job responsibilities, able to acknowledge when commitments are not met, and take appropriate steps to fulfill responsibility
• Ability to convey information clearly and effectively to individuals or groups, including ability to choose the appropriate method or methods of communication
• Ability to analyze, identify, and solve problems while using sound judgment

Schedule

• 40/hrs per week
• Monday through Friday: 8:00 to 4:30
• In office

Salary Description

$17-$24 per hour