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We are looking for a highly organized and detail-oriented Service Verification Supervisor to join Modivcare PCS. As the Service Verification Supervisor, you will be responsible for overseeing the service verification process to ensure accurate and timely verification of services provided to our clients. Your strong leadership skills, attention to detail, and knowledge of healthcare operations will contribute to the smooth functioning of our service verification department.
Job Responsibility:
Develop and implement service verification procedures, ensuring compliance with company policies and industry regulations
Oversee the verification of services provided by caregivers and nurses to ensure accuracy and completeness
Conduct regular audits to identify discrepancies, errors, or fraudulent activities and take appropriate corrective actions
Lead and manage a team of service verification specialists, providing guidance, training, and support in their day-to-day activities
Set performance goals and objectives for the team, monitor their performance, and provide regular feedback and coaching
Foster a positive work environment, encouraging teamwork, collaboration, and professional development within the team
Implement quality assurance measures to ensure the accuracy and integrity of service verification data
Review and analyze service verification reports, identifying trends, patterns, and areas for improvement
Collaborate with relevant stakeholders, such as caregivers, nurses, and field supervisors, to address any service-related issues or concerns
Continuously evaluate and improve the service verification process, identifying opportunities to streamline operations, increase efficiency, and enhance data accuracy
Collaborate with cross-functional teams, such as IT and operations, to implement system enhancements or automation tools to improve the service verification workflow
Ensure compliance with relevant regulatory requirements, including HIPAA and other privacy regulations
Maintain accurate and up-to-date documentation of service verification processes, policies, and procedures
Stay updated on industry best practices and changes in regulations related to service verification and implement necessary changes to maintain compliance
Requirements:
Bachelor's degree in healthcare administration, business administration, or a related field. Master's degree is a plus
Minimum of 2 years of experience in healthcare operations, EVV, or a related role. Experience with HHAeXchange
Strong knowledge of healthcare operations, including understanding of caregiver and nursing services in a home healthcare setting
Experience managing a team and demonstrated leadership abilities
Excellent organizational and time management skills, with the ability to prioritize tasks and meet deadlines
Attention to detail and accuracy in verifying service records and documentation
Strong analytical and problem-solving skills, with the ability to identify and resolve service-related issues
Excellent communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders
Proficiency in using healthcare software systems and databases
Familiarity with relevant regulations and standards, such as HIPAA and state-specific requirements
Ability to adapt to a fast-paced and evolving healthcare environment