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Home Care: Client Services Manager - Tega Cay

Coordinate patient scheduling and verify insurance coverage efficiently
Fort Mill, South Carolina, United States
Mid-Level
4 weeks ago

Home Care: Client Services Manager - Tega Cay

This position is responsible for the management of services to support Agency operations in the areas of payroll and billing processes, customer support, personnel file maintenance, medical records and data entry. This position is responsible for marketing and business growth. This position transmits information to staff and office personnel to facilitate daily office activities and ensure that sensitive company information is appropriately handled. This position is often the first contact the company has with the public and must maintain confidentiality of business, patient and employee matters.

Note: Depending on the size of the Agency location, the CSM's responsibilities will differ.

Essential Functions:

Payroll: The Service Manager or designee assigned to these tasks is responsible for the payroll processes, also provides backup to the processes as designated by supervisor.

Billing: The Service Manager or designee is responsible for the accurate and timely preparation and validation of bills for all payers.

Personnel File Maintenance: The Service Manager or designee is responsible for maintenance of personnel files, auditing of file accuracy and reporting to appropriate manager of incomplete outdated or inaccurate employee information. This position is also responsible for medical supply, maintenance and system.

Customer Support Process: The Service Manager or designee is responsible to answer the Agency's phone lines in a courteous and helpful manner, as well as provide clerical support to the administrative staff. Responsible for incoming and outgoing mail and providing backup to other processes as designated by the supervisor.

Medical Records: The Service Manager or designee maintains all active client records and files clinical and other incoming documentation. Maintains a control procedure for all active and inactive files, retrieves records upon request and breaks down records upon discharge. Communicates identified discrepancies or problems. Prepares documents in response to requests for information and record subpoenas. May perform general clerical functions to facilitate home health operations. Provides backup to other processes as designated by supervisor. Audits records to assist management in maintaining compliance and integrity of information.

Scheduling Management: The Service Manager or designee, under the direction of the clinical manager/supervisor is responsible for scheduling patient visits according to physician orders, validating caregiver visits against schedules and alerting the manager of deviations from orders. The designee is also responsible for verifying patient insurance coverage and running management reports.

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

• Technical Skills – Individual must demonstrate current and ongoing competence in tasks assigned which indicates a specialized skill in this area above and beyond the average.

• Communication – Demonstrates an ability to effectively and regularly transfer information to necessary parties to improve the quality of her work and to provide her supervisor with actionable, accurate data.

• Initiative – Is self-motivated and personally competitive. Wants to achieve for the good of the Company and her team. Seeks additional work when they have capacity. Demonstrates an ability and desire to bring new ideas and solutions to their supervisor on an ongoing basis.

• Flexibility – The ability to quickly adapt to changing conditions. The ability to navigate obstacles with ease and professionalism.

• Interpersonal Skills – Focuses on solving conflict, not blaming; listens to others without interrupting; keeps emotions under control; remains open to ideas and tries new things.

• Teamwork – Balances team and individual responsibilities; encourages others and asks for help when needed. Exhibits patience and compassion.

• Professionalism – Ensures product is delivered on time and is of the highest quality. Assumes responsibility for mistakes. Presents themselves in a manner which enhances the brand image. Understands that no information is truly private and conducts online or social networking activities accordingly.

• Ethics – Treats people with respect; keeps commitments; inspires the trust of others; works ethically and with integrity; upholds the Company's Guiding Principles:

o People First, Always

o We Exist to Serve our Members

o We Have a Responsibility to be Full

Physical Demands, Work Environment, and Expected Hours of Work: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• This position is often required to read, write, stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls, reach with hands and arms, balance, stoop, kneel, crouch, talk and/or hear.

• An individual in this position will be required to lift or carry weight up to 25 lbs.

• May be exposed to minimal to moderate noise.

• May be required to work extended periods of time at a computer terminal.

• May encounter difficult situations, including contact with mentally ill and deceased residents.

TRAVEL: Local and out of state travel, including overnight stays, may be required from time to time to attend conferences, training, meetings, and professional development programs.

Education and Experience Requirements:

• College Degree Preferred

One (1) year data entry, computer-related experience, or clerical and systems experience, preferably in a healthcare environment.

Knowledge, Skills, and Abilities Required:

• Ability to work in a fast-paced environment and to prioritize, organize and manage multiple priorities.

• Proficient in Microsoft Office suite and the ability to quickly master new software applications.

• Strong customer orientation to older adults.

Qualifications:

Behaviors:

Required:

Team Player: Works well as a member of a group.

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well.

Dedicated: Devoted to a task or purpose with loyalty or integrity.

Motivations:

Required:

Self-Starter: Inspired to perform without outside help.

Financial: Inspired to perform well by monetary reimbursement.

Growth Opportunities: Inspired to perform well by the chance to take on more responsibility.

Goal Completion: Inspired to perform well by the completion of tasks.

Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals.

Entrepreneurial Spirit: Inspired to perform well by an ability to drive new ventures within the business.

Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization.

Licenses & Certifications:

Required:

NC Drivers License

SC Drivers License

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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Home Care: Client Services Manager - Tega Cay
Fort Mill, South Carolina, United States
Customer Success
About Wellmore of Tega Cay