HCA Admin Asst - Doc/Reimb Verification

Kintegra; Gastonia (NC); On-site; USD 32,000 - 46,000; Part time

Job summary

The Administrative Assistant – Documentation & Reimbursement Verification at Senior TLC, STLC Gastonia location, is responsible for remotely reviewing, verifying, and organizing aide and housekeeping service documentation to ensure services are accurately documented, complete, timely, and prepared for Medicare reimbursement and agency billing requirements.

This role requires exceptional attention to detail, confidentiality, and organization, with the ability to identify missing, incomplete,

Qualifications

• Education requirement: high school diploma or equivalent.
• Experience in administrative, healthcare, homecare, medical records, billing, or documentation preferred.
• Experience with electronic health records or scheduling systems preferred.
• At least 1 year of experience with the frail elderly population.

Responsibilities

• Review daily aide service documentation for completeness and accuracy.
• Verify that required services and tasks are documented appropriately.
• Confirm that required participant signatures or acknowledgments are present when applicable.
• Review clock-in and clock-out information for consistency with scheduled services and documentation.
• Identify missing, incomplete, late, or inconsistent documentation.
• Verify that documentation supports the services reported for reimbursement.
• Compare schedules, visit records, task documentation, and other applicable records for discrepancies.
• Follow up with appropriate staff when corrections or clarification are required.
• Maintain a tracking system for outstanding documentation issues.
• Review housekeeping documentation to ensure required services are documented.
• Verify that housekeeping tasks are clearly and accurately recorded.
• Ensure documentation reflects the exact services scheduled and authorized.
• Identify missing signatures, incomplete task documentation, or other deficiencies.
• Communicate corrections needed to aides or supervisory staff.
• Monitor outstanding housekeeping documentation until resolved.

Skills

Time management

Prioritization

Organization

Communication

Planning

Problem solving

Accuracy

Attention to detail

Flexibility

Reliability

Independent work

Education

High school diploma or equivalent

Tools

Microsoft Office

Outlook

Excel

PowerPoint

Word

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

HCA Admin Asst - Doc/Reimb Verification

STLC Gastonia - Home Care Agency PART Part-Time Gastonia, NC, US

18 days ago Requisition ID: 5197

Senior TLC

Job Summary and Specifications

Job Title: HCA Administrative Assistant – Documentation & Reimbursement Verification

FLSA Status: Non-Exempt

Salary Range:See Pay Scale

Job Summary

The Administrative Assistant – Documentation & Reimbursement Verification is responsible for remotely reviewing, verifying, and organizing aide and housekeeping service documentation to ensure services are accurately documented, complete, timely, and prepared for Medicare reimbursement and agency billing requirements. This position requires exceptional attention to detail, confidentiality, organization, and the ability to identify missing, incomplete, inconsistent, or potentially inaccurate documentation. The Administrative Assistant will communicate documentation deficiencies to appropriate staff and track corrections through completion. Reports directly to the Home Care Agency Supervisor.

Specifications

Education: High school diploma or equivalent required.

Experience: Administrative, healthcare, homecare, medical records, billing, or documentation experience preferred. Experience with electronic health records or scheduling systems preferred. At least 1 years experience working with the frail elderly population.

Number and Type of Employees Supervised (optional): None.

Licensure, Registry or Certification Required:NC drivers' license.

Special Training: Be knowledgeable in multiline computer operations and phone systems as well as excellent writing and reporting skills. Be competent in the use of Microsoft office software-specifically Outlook, Excel, PowerPoint, and Word. Meet a standardized set of competencies for the specific position description established by Senior TLC, Inc. and approved by CMS before working independently.

Skills Required: Time management/prioritization, organization, communication (verbal and written), planning, problem solving, accuracy, strong attention to detail, flexibility, and reliability. Must be able to work independently with minimal supervision.

Immunizations:Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact

Ages of Patients Rendered Care:

Adult/Geriatric

Key Responsibilities

• Review daily aide service documentation for completeness and accuracy.
• Verify that required services and tasks are documented appropriately.
• Confirm that required participant signatures or acknowledgments are present when applicable.
• Review clock-in and clock-out information for consistency with scheduled services and documentation.
• Identify missing, incomplete, late, or inconsistent documentation.
• Verify that documentation supports the services reported for reimbursement.
• Compare schedules, visit records, task documentation, and other applicable records for discrepancies.
• Follow up with appropriate staff when corrections or clarification are required.
• Maintain a tracking system for outstanding documentation issues.
• Review housekeeping documentation to ensure required services are documented.
• Verify that housekeeping tasks are clearly and accurately recorded.
• Ensure documentation reflects the exact services scheduled and authorized.
• Identify missing signatures, incomplete task documentation, or other deficiencies.
• Communicate corrections needed to aides or supervisory staff.
• Monitor outstanding housekeeping documentation until resolved.

Medicare Reimbursement & Billing Support

• Review documentation for completeness and consistency before submission for reimbursement.
• Ensure documentation contains the information required by agency policies and applicable payer requirements.
• Identify documentation that may prevent a service from being submitted for reimbursement.
• Escalate questionable, conflicting, or potentially inaccurate records to the supervisor or appropriate department.
• Assist with maintaining organized records supporting billed services.
• Maintain documentation according to agency retention and confidentiality requirements.
• This position does not independently determine Medicare coverage or billing eligibility unless specifically authorized and trained to do so.
• Send reminders regarding missing or incomplete documentation.

Confidentiality & HIPAA

• Maintain strict confidentiality of participant, employee, medical, financial, and agency information.
• Follow HIPAA and agency privacy and security policies.
• Access only information necessary to perform assigned duties.
• Use only agency-approved devices, systems, email, and communication platforms.
• Protect passwords and other login credentials.
• Immediately report suspected privacy, security, or documentation concerns to the appropriate supervisor.
• Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.