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EOE LVN Auditor - Home Health

Company: Lifecare Home Health Family
Location: Wichita Falls
Posted on: January 5, 2020

Job Description:

Beyond Faith Home Care is seeking an EOE LVN Auditor to audit patient files to ensure compliance and quality patient care is maintained through the patient episode. --Essential Functions: Interpret and ensure compliance with all local, State, Federal, Medicare, and insurance laws relating to auditing final episodes of patient's record in preparation for billing.Provide direction, I an effort to ensure quality, compliance with Plan of care and assessment and reassessment of patient's needs and continuity of services by appropriate health care personnel through written reports.During the EOE Auditing process, monitors systems and identifies problem areas to Administrator/DOCs both verbally and through written reports.Participate in activities relevant to inquiring pre-authorization and verifications of patient's insurance needs and approval in conjunction with Home Health Services.Promotes compliance with all fiscal intermediary and/or other third party payors, through education, and other assistance as necessary.Promotes continuous updates with changes in Insurance plans and Medicare changes.Meets mandatory continuing education of the agency regarding annual requirements.Uses effective interpersonal relations and communication skills to achieve desirable outcomes.Experience:

  • Preferred, 1 - year experience in home health care
  • Preferred, OBQI or auditing experienceSkills:
    • Excellent interpersonal skills and ability to communicate verbally and in writing effectively.
    • Demonstrates proven decision-making skills.
    • If required to make visits, must have Hepatitis profile and negative TB screening.
    • Must read, write and comprehend English.Education:
      • Completion of an accredited Licensed Vocational/Licensed Practical Nursing program.Licensure/Certification:
        Current driver's license in good standing. It is the responsibility of the employee to renew their driver's license before it expires in order to continue employment.Reliable transportation and auto liability insurance.Current State professional license as an LVN/LPN in any/all applicable states. Current CPRPhysical Requirements:
        • Prolonged sitting required in an office environment which involves minimal and occasional lifting of medical supplies and charts.If visiting patients, prolonged standing and walking required, with the ability to bend, stoop, reach and move client weight up to 250 pounds as well as carry up to 30 pounds.Ability to handle stressful situations in a calm and courteous manner at all times.Requires working under some stressful conditions to meet deadlines and Agency needs.Knowledge of home care operations and flow of information to process job duties.Understanding of Federal, State, Medicare and Insurance laws and regulations pertaining to the job.Environmental/Working Conditions:
          • Performs duties in an office environment during Agency operating hours.
          • Ability to work flexible schedule.
          • Ability to travel locally.
          • Some exposure to unpleasant weather.
          • If required to make patient visits, may work in patients' home in various conditions; possible exposure to blood and bodily fluids and infectious diseases.Machinery/Tools/Equipment Requirements:
            Reliable transportation and auto liability insurance.Basic office equipment.Basic nursing equipment. --

Keywords: Lifecare Home Health Family, Wichita Falls , EOE LVN Auditor - Home Health, Healthcare , Wichita Falls, Texas

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