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Change Order Representative (REMOTE)

Remote:

Full Remote

Salary:

19 - 19K yearly

Experience:

Mid-level (2-5 years)

Work from:

Texas (USA), United States

Offer summary

Qualifications:

High school diploma or GED required., 2 years of related experience needed., Bachelor's degree in a related field preferred., Proficient in Microsoft Office Suite..

Key responsabilities:

Review changes on existing patient orders.
Enter demographics and verify insurance coverage.

Aveanna Healthcare XLarge https://www.aveanna.com/

10001 Employees

See all jobs

Job description

Overview

Position Overview: The Change Order Representative is responsible for reviewing changes on existing patient orders. This includes checking prescription validity, authorization validity, insurance requirements, demographics, patient needs, and making necessary notations prior to shipping orders of medical supplies. This is a remote position that demands strong organizational and communication skills, attention to detail, and dedication to delivering outstanding patient support.

Essential Job Functions

Data Entry: Enter demographics and other pertinent information into the digital system, ensuring the completion of all change order paperwork.
Insurance Verification: Confirm insurance coverage, clearly explain benefits to patients and case managers, and process payments as applicable to minimize delays and support patient understanding.
Patient Needs Assessment: Assess individual patient needs, clarify relevant information, research solutions for complex inquiries, and provide clear and compassionate resolutions.
Collaboration with Sales Team: Work closely with the sales team to streamline patient admissions, reduce time to start of care, and create a seamless experience, enhancing both patient satisfaction and operational efficiency.
Documentation: Responsible for creating, reviewing, and maintaining accurate medical documentation in accordance with regulatory standards and organizational policies. Ensure all patient interactions, clinical assessments, and care plans are properly documented.
Authorization Management: Submit and follow up on authorizations, determining when a changed prescription is needed.
Formula Calculation: Accurately calculate and verify nutritional formulas to meet individual patient requirements.
Portal Navigation: Navigate insurance and payor portals effectively.
Performance Metrics: Consistently meet or exceed daily, monthly, and quarterly performance metrics and goals established by management to support continuous improvement.
Interdepartmental Communication: Engage proactively with other departments to address patient concerns, presenting clear solutions and fostering effective teamwork.
Compliance: Ensure work meets internal and external compliance requirements, maintaining confidentiality and adhering to HIPAA guidelines/regulations.
Clerical Support: Execute various clerical tasks such as faxing, scanning, and copying to support document management and streamline office processes.
Authorization Management: Submit and follow up on authorizations, identifying when a new prescription or modification is required to prevent delays in patient care.
Support Company Culture: Demonstrate core values such as compassion, team integrity, accountability, trust, innovation, compliance, and fun, supporting the Aveanna mission and culture.
Continuous Improvement: Maintain skills and qualifications necessary to provide or support quality care, including attending company-wide educational programs.
Professional Interactions: Maintain consistent and harmonious interactions with coworkers and customers, including patients, medical office staff, vendors, and the general public.
Policy and Procedure Adherence: Comply with all company policies and procedures from the onset of employment, contributing to a safe, structured, and consistent work environment.
Remote Work Requirements:

Workspace: Maintain a quiet, dedicated workspace free from non-work-related distractions.
Professional Appearance: Employees are expected to maintain professional appearance and a camera-ready presence during working hours. In order to foster engagement and connection, employees are expected to be on camera during scheduled meetings or team discussions.
Dependent Care: Working remotely is not intended as a substitute for childcare or other caregiving obligations.
Internet Connectivity: Ensure appropriate internet speed to handle call center software and communication needs (typically a minimum of 100 Mbps download and 50 Mbps upload speeds).
Security: Adhere to company data security policies, ensuring a secure work environment to protect patient information.
Communication: Maintain regular communication with the team through virtual meetings, email, telephone and instant messaging tools.
Self-Management: Demonstrate strong self-management skills, including time management, accountability, and discipline to stay productive without in-person supervision.
Technical Support: Be proactive in resolving technical issues and communicate promptly with IT support if needed.

In-Office Requirements (This applies only to employees who have additional responsibilities in an Aveanna office):
Office Management: Ensure a well-organized and efficient office environment, overseeing daily operations and addressing any administrative needs.
Temperature Checks for Enteral Formula: Conduct regular checks to verify that enteral formula is stored at safe temperatures, meeting quality and safety standards.
Fire Extinguisher Maintenance: Perform periodic maintenance checks on fire extinguishers to comply with safety regulations and ensure emergency readiness.
Inventory Management: Track and manage inventory of supplies and equipment, ordering as necessary and keeping accurate records to maintain stock levels.
Clean/Dirty Equipment Area Maintenance: Maintain designated areas for clean and dirty equipment, following health and safety protocols to prevent cross-contamination.
Customer, Vendor, and Surveyor Assistance: Provide a positive and responsive experience for customers, vendors, and surveyors, addressing inquiries, offering guidance, and facilitating visits as needed

Position Qualifications

Minimum Education: High school diploma or GED
Preferred Education: Education or experience equivalent to a bachelor’s degree in a related field is highly preferred.
Minimum Experience: Minimum of 2 years of related experience.
Preferred Experience: Home Health/DME related experience preferred; knowledge of insurances is a plus.
Required Certification/License: None
Preferred Certification/License: None

Supervises: None

Special Skills

Proficient in Microsoft Office Suite (Outlook, Word, Excel).
Self-starter with high integrity and respect for confidentiality.
Effective judgment and sensitivity to changing needs and situations.
Strong organizational skills and attention to detail.
Strong sense of urgency and ability to prioritize multiple tasks to meet deadlines.
Excellent written and verbal communication skills.
Ability to work independently and as part of a team.
Adaptability to change.
Collaborative interaction with other departments and teams.

Physical Demands/Requirements

Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 10 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

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