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Aveanna Patient Care Representative in Chandler, Arizona

Patient Care Representative

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Job Details

Requisition #:

99117

Location:

Chandler, AZ 85286

Category:

Customer Service

VIRTUAL INTERVIEW & ONBOARDING PROCESS

Position Overview

The Patient Care Representative is responsible for providing a high level of customer service to our patients and their caregivers from intake to discharge. The primary function of this position is accurate documentation and verification of intake, changes, reorder and discharge. The Patient Care Representative is responsible for accurate and detailed database entry based on complete information collected and updated on a regular basis.

Essential Job Functions

• Process patient intake and admissions; verify patient eligibility and benefits and receipt of all documents needed to request authorization as required.

• Calculate patient enteral needs based off prescription, request authorization from health plans and complete data entry within system to ensure accurate patient data.

• Obtain clinical information needed for order processing or reimbursement.

• Contact patients to: advise them of the order placed on their behalf and to confirm all patient demographic information; to communicate any financial responsibilities and/or additional information necessary for processing the order received; to promote other company product and services as appropriate.

• Ensures patient information is accurate, including demographic data, prescriptions, physician data, insurance eligibility and coverage.

• Review and work the pending Start of Care (SOC) report daily to ensure that accounts are not aged over threshold and ensure pending status is updated throughout process.

• Contact patients on a monthly basis to review and confirm delivery details to ensure timely delivery and appropriate revenue recognition for order.

• Complete QA review for all new starts - Maintain 90% or higher QA score. Completes QA corrections as required and ensures that initial claims are clean and billable.

Requirements

• High school graduate

• Education or experience equivalent to a bachelor's degree in related field highly preferred

• A minimum of 2 years proven experience in managing customer service or equivalent teams

• Proficient in Microsoft suite of products including Outlook, Word and Excel

Preferences

• Education or experience equivalent to a bachelor's degree in related field highly preferred

• Experience in healthcare preferred; knowledge of insurances a plus

Other Skills/Abilities

• Must be able to adhere to confidentiality standards and professional boundaries at all times

• Attention to detail

• Time Management

• Ability to remain calm and professional in stressful situations

• Strong commitment to excellence

• Quick-thinking and astute decision making skills

• Effective problem-solving and conflict resolution

• Excellent organization and communication skills

• Bilingual in English and Spanish Preferred (Aveanna Offers a Bilingual Stipend of $40 Per Pay Period to Full-Time Employees)

Physical Requirements

• Must be able to speak, write, read and understand English

• Occasional lifting, carrying, pushing and pulling of 25 pounds

• Prolonged walking, sitting, standing, bending, kneeling, reaching, twisting

• Must be able to sit and climb stairs

• Must have visual and hearing acuity

• Must have strong sense of smell and touch

Environment

• Performs duties in an office environment during agency operating hours

• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions

Other Duties

• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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