Billing Assistant/EVV Coordinator

Ideal-Home-Health-Agency; Pittsburgh (Allegheny County); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Job summary

IDEAL HOME HEALTH CARE, LLC is seeking an organized EVV Coordinator to support home health operations, monitor EVV, patient schedules, billing, and insurance eligibility. The role requires attention to detail and comfort with multiple computer systems to identify and resolve discrepancies efficiently.

The ideal candidate will manage EVV compliance, review billing items, and generate required payor reports while coordinating with caregivers and staff to meet deadlines in a fast-paced healthcare

Qualifications

• High school diploma or equivalent.
• Strong attention to detail, organization, time-management, communication, and problem-solving skills.
• Comfortable working with computer systems, spreadsheets, and multiple online platforms.
• Ability to monitor time-sensitive information and consistently meet established deadlines.
• Previous EVV, home health, healthcare billing, HHAeXchange, Availity, NaviNet, or Alora experience preferred but not required.

Responsibilities

• Monitor patient schedules to ensure visits align with approved Plans of Care and are completed as scheduled.
• Monitor the EVV Call Dashboard every two minutes during working hours and review daily for missed visits, errors, or incomplete entries.
• Work with caregivers and appropriate staff to promptly resolve EVV discrepancies.
• Maintain a minimum 90% quarterly EVV compliance rate in accordance with payor and contractual requirements.
• Review and clear prebilling items and prepare claims for billing: 1st-15th: Complete on the first business day after the 15th; 16th-end of month: Complete on the first business day of the following month.
• Complete required missed-shift reports according to each payor's deadline: UPMC & Highmark: Monthly, by the 10th of the following month; AmeriHealth & Health Partners Plan: Weekly, every Tuesday.
• Use the required reporting platform, including Microsoft Teams/Excel, NaviNet, or HHAeXchange, as applicable.
• Verify insurance eligibility for all patients every Monday (Tuesday when Monday is a holiday).
• Complete an additional eligibility check on the first business day of each month.
• Promptly notify appropriate families and staff of insurance or eligibility changes.
• Add new employees/caregivers to HHAeXchange and Alora as required.
• Complete additional assignments from other departments while following deadlines.

Skills

Attention to detail

Organization

Time management

Communication

Problem solving

EVV familiarity

Education

High school diploma or equivalent

Tools

HHAeXchange

NaviNet

Alora

Availity

Job description

IDEAL HOME HEALTH CARE, LLC

JOB DESCRIPTION

JOB TITLE: EVV Coordinator
REPORTS TO: Administrator

Job Summary

We are seeking an organized and detail-oriented EVV Coordinator to support our home health operations. This position is responsible for monitoring Electronic Visit Verification (EVV), patient schedules, billing preparation and submission, insurance eligibility, and required payor reporting. The ideal candidate is dependable, comfortable working with multiple computer systems, and able to identify and resolve discrepancies in a timely manner.

Key Responsibilities

• Monitor patient schedules to ensure visits align with approved Plans of Care and are completed as scheduled.
• Monitor the EVV Call Dashboard every two minutes during working hours and review daily for missed visits, errors, or incomplete entries.
• Work with caregivers and appropriate staff to promptly resolve EVV discrepancies.
• Maintain a minimum 90% quarterly EVV compliance rate in accordance with payor and contractual requirements.
• Review and clear prebilling items and prepare claims for billing:
  • 1st-15th: Complete on the first business day after the 15th.
  • 16th-end of month: Complete on the first business day of the following month.
• Complete required missed-shift reports according to each payor's deadline:
  • UPMC & Highmark: Monthly, by the 10th of the following month
  • AmeriHealth & Health Partners Plan: Weekly, every Tuesday.
• Use the required reporting platform, including Microsoft Teams/Excel, NaviNet, or HHAeXchange, as applicable.
• Verify insurance eligibility for all patients every Monday (Tuesday when Monday is a holiday).
• Complete an additional eligibility check on the first business day of each month.
• Promptly notify appropriate families and staff of insurance or eligibility changes.
• Add new employees/caregivers to HHAeXchange and Alora as required.
• Complete additional assignments from other departments while following the deadlines established by the requesting department.

Qualifications

• High school diploma or equivalent required.
• Strong attention to detail, organization, time-management, communication, and problem-solving skills.
• Comfortable working with computer systems, spreadsheets, and multiple online platforms.
• Ability to monitor time-sensitive information and consistently meet established deadlines.
• Previous experience with EVV, home health, healthcare billing, HHAeXchange, Availity, NaviNet, or Alora is preferred but not required.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance

Ideal Candidate

The successful candidate will be reliable, accurate, responsive, and comfortable working in a fast-paced healthcare office environment. This role requires consistent monitoring of EVV activity and timely follow-up with staff to ensure visits, billing, and reporting requirements are completed correctly.