What are the responsibilities and job description for the Patient and Physician Compliance Representative position at Comfort Home Care?
Find Balance. Find Purpose. Find Your Place at Comfort Home Care.
About the Company:
At Comfort Home Care, our mission is to provide compassionate and comprehensive mental health care within the comfort and familiarity of our patients' homes. We are dedicated to empowering individuals with psychiatric challenges to achieve their highest level of well-being, independence, and quality of life. Through a personalized and holistic approach, we strive to deliver evidence-based interventions, support, and education to foster healing, recovery, and lasting stability. We are proud to be on the Boston Globe's list of top employers for 2025 and offer competitive compensation and a supportive team-oriented culture.
Position Overview:
The objective of this role is to bridge the gap between field clinicians and physicians by managing the tracking, signing, distribution and validation of the Plan of Care documents (485) and orders.
Key Responsibilities
About the Company:
At Comfort Home Care, our mission is to provide compassionate and comprehensive mental health care within the comfort and familiarity of our patients' homes. We are dedicated to empowering individuals with psychiatric challenges to achieve their highest level of well-being, independence, and quality of life. Through a personalized and holistic approach, we strive to deliver evidence-based interventions, support, and education to foster healing, recovery, and lasting stability. We are proud to be on the Boston Globe's list of top employers for 2025 and offer competitive compensation and a supportive team-oriented culture.
Position Overview:
The objective of this role is to bridge the gap between field clinicians and physicians by managing the tracking, signing, distribution and validation of the Plan of Care documents (485) and orders.
Key Responsibilities
- Assist with sending, tracking, and obtaining signed Interim Orders and CMS Form 485s using various communication methods, including DocuSign, Doctor Alliance, email, and traditional mail.
- Travel to physicians' offices to deliver and obtain outstanding Interim Orders and CMS Form 485s.
- Actively communicate with physicians' offices to obtain signatures and verify patient and physician information.
- Utilize knowledge, professionalism, and diplomacy to effectively identify, communicate, and resolve existing or potential issues.
- Collaborate with clinicians to ensure orders are directed to the appropriate providers.
- Communicate with clinicians to address and resolve any issues related to orders.
- Ensure all communications and follow-ups are handled in a timely and efficient manner.
- Add and maintain provider information, ensuring National Provider Identifier (NPI) accuracy and validity for billing purposes.
- Assist with processing, sending, and managing incoming and outgoing faxes.
- Establish and maintain strong professional relationships with external providers, physicians' offices, and community facilities.
- Proficiency in Microsoft Office and compliance management software
- Strong attention to detail and organizational skills
- Excellent communication and interpersonal skills. Ability to communicate effectively with clinical personnel, office personnel, patients, families, physicians, and outside clinicians & providers
- Strong analytical and problem-solving skills
- High School Diploma or equivalent required
- 1 - 2 years of medical records or related healthcare experience
- Knowledge of healthcare regulations, compliance requirements, and HIPAA
- CMS/Medicaid regulations certification (preferred)