Careers at Hospice of Southwest Ohio

Job Summary:

Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. The Billing Specialist is a member of a cooperative team providing care that respects the dignity of all patients and serves their needs with competence and compassion. The Billing Specialist takes direction from and assists the Director of Finance in managing and motivating staff in learning and performing safe, caring practices while adhering to facility policies and procedures and federal, state and local regulations.

Duties and Responsibilities:

Administrative Functions

• Accurately enters patient billing data, including visit charges and supply charges, into the information system.

• Accurately processes and bills Medicare, Medicaid, private payer and patient claims in accordance with payer requirements and organization policy.
• Assists in the preparation of monthly billing and accounts receivable reports.
• Maintains accurate Medicare and Medicaid billing analysis reports.
• Maintains complete and accurate billing and accounts receivable records.
• Prepares Medicare, Medicaid, private payer and patient remittances for data entry.
• Alerts appropriate management team members regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the CEO of seriously overdue accounts.
• Establishes and maintains positive working relationships with patients, family members, payers and referral sources.
• Performs other specific projects relating to billing, data entry, and computer operations as required.
• Ensures reimbursement through efficient billing and collections operations.
• Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, and federal regulations.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations.
• Entry of patient pay invoices into accounting system in a timely and accurately manner.
• Accurately designates general ledger account numbers to invoices.
• Utilizes scanning system to process Accounts Payable payments for document retention in a timely and accurate manner.
• Communicates professionally with vendors/employees with regards to inquiries about accounts payable processing.
• Maintain and track Account Receivable process and update the Director of Finance on a weekly basis.
• Follow-up and follow-through on all Aging and Collections for Hospice of Southwest Ohio and CareBridge Palliative Care Services.
• Demonstrates knowledge of Medicare hospice benefit, patients’ rights, advanced directives, available HSWO services, patient participation requirements for the end of life care, available resources available to patients and families at end of life
• Demonstrates knowledge of the concepts of death and dying including: normal vs. abnormal dying process, cultural attitudes toward death, patient and family values and belief systems, denial and coping mechanisms, patient and family goals for the end of life care, grief and anticipatory grief
• Knowledgeable about and adheres to the HSWO compliance plan

• *Must have experience in medical credentialing and medical billing.

Job Type: Full-time

We are looking for a part-time RN Clinical Liaison to work Monday, Wednesday, Friday and every other Saturday.

Job Summary:

The RN/Clinical Liaison is knowledgeable and experienced in presenting to clinicians in informational sessions, marketing, gerontology, long term care, assisted living facilities and is comfortable navigating hospital systems and locating discharge planners. As a clinical Liaison, you will establish strong working relationships with physicians, hospital discharge planners, social workers, medical facilities and healthcare decision makers to provide them with ongoing education regarding our Hospice and Palliative Care Services. You will be presenting information on our services to high level Healthcare Administrative roles. The Clinical Liaison is a member of a cooperative Sales/Marketing team providing care that respects the dignity and rights of all facility patients, employees, staff, family, visitors and community and serves their needs with competence and compassion.

Essential Job Functions/Responsibilities:

• Maintain comprehensive reporting and consultation system with the Director of Business Development regarding the operation of your accounts.

• Recommend quality improvement initiatives, both for the quality of patient care and positive budget impact.

• Call on 5-7 accounts a day, following a call plan schedule established every Monday. Have at least 3 connections at all hospital and clinical settings that are within your territory, and be aware of Medical Directors and/or who’s making Palliative referrals at every location.

• Ensure that all admissions staff comply with the facility’s written policies and procedures; federal, state and local regulations.

• Cooperate with other departments when coordinating admissions to ensure that all patients’ total regimen of care is maintained.

• Acts as a Community Consultant to educate on hospice, Primary, and palliative care services to medical staff in Nursing Homes, Assisted Living Communities, Independent Living Communities, and Home Health Agencies. The Community Consultant may also educate MD’s and Hospital Staff.

• Acts as a Community Consultant to educate seniors and their families on the benefits of Hospice and Palliative care, with education to churches and local companies.

• Connect and build and maintain relationships with hospital staff, including Social Workers, palliative care teams, doctors and nurses on each floor and department.

• Ability to speak in public and answer questions about Hospice of Southwest Ohio and CareBridge Palliative Care

• Set up CEU’s, Lunch n Learns, and events/activities to support the facilities according to budget.

• Understands regulatory and program requirements for both Hospice and CareBridge

• Communicate professionally with staff, IDT and community

• Participates in company functions and sponsored events

• Demonstrates knowledge of CareBridge billing and part B Medicare

• Stays current and up to date with territory and account changes

• Utilizes strategic geographical layout of territory to maximize time, resources and effectiveness while in the field using Suncoast Solutions.

• Provides input in development of agency marketing material

• Participates in the agency’s Performance Improvement Program as appropriate

• Be flexible and available to CareBridge Nurse Practitioners when a patient visit in a hospital setting is needed quickly.

• Ensure all physician and hospital programs have our information in their resource binders/resources handed to new patients

• Become familiar with and continue to build rapport with Weekend Supervisors at all Hospital and Affiliated Nursing Settings.

• Ensure pre-call planning is completed prior to walking into facilities. Must be aware of all the details of the account such as: Ownership, Leadership, Decision Makers, Building Census, and Type of Facility and have your discovery questions written out prior to entering facility.

• Organization of all marketing materials and ready for efficient use.

• Follow Director of Business Development guidelines on handouts and giveaways that are consistent amongst liaisons, and budget friendly.

• Ensure that a minimum of 5 Hospital referrals, in addition to Fort Hamilton Hospital referrals and 3-5 Non-Hospital referrals come in from your designated territory per week or are within your pipeline at all times.

Corporate Citizenship

• Submits and maintains accurate weekly schedule of external client visits.
• Follows HSWO procedures for calling off duty, requesting Paid Time Off.
• Maintains HSWO required health testing, ie but not limited to Annual TB Questionnaire, flu shots, reports potential exposure to communicable diseases to Compliance Officer / COO.
• Completes mandatory education requirements annually.
• Maintains all equipment in working order and complies with appropriate maintenance standards, such as but not limited to cell phone, tablet, and company vehicle. Reports malfunctions, breakage or loss immediately to Management.

Charting and Documentation Electronically in Suncoast Solutions

• Ensure that contacts and facilities are maintained electronically using Suncoast Solutions and that all leads are pursued.
• Weekly call plans should be entered into Suncoast Solutions by Monday mornings at 8:00am
• Maintains organized account information on each client on agency software

Admissions Functions

• Assist the Chief Nursing Officer with the admissions process and marketing of Hospice services in conformance with established standards and administrative policies, personally performing duties as appropriate.
• Assist with family/patient Consents once trained on them, when necessary and requested by CNO.
• Maintain rapport with hospitals, social workers and other referral resources by making periodic visits; exploring specific placement issues.
• Assist in the planning and implementation of the company marketing plan.
• Develop, implement and maintain established department objectives and standards.
• Meet with patients and/or family members, as necessary. Resolve problems identified.
• Study trends and developments in admissions and marketing and evaluate their adaptability to specific nursing duties.

Job Specifications

Minimum Education: High School Diploma or GED with some college credits, must have a valid RN State of Ohio license

Minimum Experience: Hospice or Post-Acute care required

Specific Requirements

• Must be able to read, write, speak and understand the English language.
• Must be a licensed driver with a valid license and with an automobile that is insured in accordance with the State of Ohio requirements and is in good working order.
• Must possess the ability to make independent decisions when circumstances warrant such action.

Job Type: Part-time

Duties and Responsibilities:

• The LPN will adhere to patient assignments as directed by the Team manager providing personal care, observation and procedures as directed by the RN Case Manager.
• LPN meets the safety needs of the patient using equipment safely and properly
• LPN assists in all aspects of activities of daily living as needed.
• LPN obtains vital signs including temperature, pulse rate, respiratory rate and blood pressure as requested by the RN Case Manager.
• LPN performs skin assessment and proper skin care to prevent skin breakdown and may perform dressing changes as directed by the RN Case Manager.
• LPN reports on patient’s condition and significant changes to the RN Case Manager.
• LPN assists in ambulation and ROM exercise as directed by the RN Case Manager.
• LPN provides assistance as needed with household management.
• LPN provides respite for patient’s family or caregiver when at bedside as needed
• LPN will follow both HSWO and HSWO POC in providing patient care. Documents this care at the time of service either electronically or per paper chart
• Interacts collaboratively with all team members.
• Performs other job-related tasks not stated in this description.
• Assumes responsibility and accountability for the practice of professional nursing in accordance with the State Nurse Practice Act and standards for hospice nursing.
• Demonstrates knowledge of Medicare hospice benefit, patients rights, advanced directives, available HSWO services, patient participation requirements for the end of life care, available resources available to patients and families at end of life
• Demonstrates knowledge of the concepts of death and dying including: normal vs. abnormal dying process, cultural attitudes toward death, patient and family values and belief systems, denial and coping mechanisms, patient and family goals for the end of life care, grief and anticipatory grief.

Job Specifications:

• Graduate of an accredited school of nursing; licensed practical nurse with a current State of Ohio license.
• One year experience in acute care, long term or hospice care nursing
• Shift is 7pm-7am.

Salary is based upon experience.

**Medical, dental and vision are available after 30 days of hire following the first of the month. 401k is available after 6 months of hire. PTO starts accruing from day one.

Job Type: Full-time

Job Summary:

The certified state tested nurse hospice aide will provide basic personal care to the terminally ill patient including bathing, dressing, feeding, incontinence care, personal hygiene and transfers as well as socialization. The certified state tested nurse hospice aide will meet the basic physical and emotional needs of the terminally ill individual and their families within the patient’s home and their community.

Duties and Responsibilities:

• Adheres to patient assignments as directed by Team manager providing personal care needs for patient in a prompt manner. If unable to perform a certain task, reports to the RN case manager immediately.
• Meets the safety needs of the patient using equipment safely and properly.
• Provides personal patient care including bathing, back rubs, oral hygiene, hair washing and changing bed linens as often as assigned by the RN case manager.
• Assists in all activities of daily living as needed.
• Provides assistance with laundry needs.
• Prepares meals as assigned by the RN case manager.
• Assists in feeding the patient as assigned by RN case manager.
• Obtains and records temperature (oral, rectal axillary), pulse and respirations when requested with appropriate completed/demonstrated skills competency.
• Observes patient’s skin and provides proper skin care to prevent skin breakdown over bony prominences. Reports any changes to the RN case manager.
• Assists with ambulation and ROM exercises as instructed by the RN case manager or therapist with appropriate completed/demonstrated skills competency.
• Reports patient condition and any significant changes to the RN case manager.
• Provides respite for the patient’s family or caregiver when at bedside as needed.
• Maintains a clean, orderly living area for the patient.
• Demonstrates respect toward the patient and family/caregiver while providing care adhering to the organizational standards of professional conduct.
• Interacts collaboratively with all team members.
• Attends the Interdisciplinary Group/Team meetings regularly as assigned.
• Perform other job-related tasks other than those stated in this description.

Job Specifications:

• Minimum Education: State Tested Nurse Aide with a current Ohio certification.
• Minimum Experience: One year of recent experience working as a State Tested Nurse Aide without a lapse of 24 consecutive months without services provided for compensation.
• Knowledge of home care principles and practices within the scope of hospice.

Salary is based upon experience

**Medical, dental and vision are available after 30 days of hire following the first of the month. 401k is available after 6 months of hire. PTO starts accruing from day one.

Job Type: Full-time