The specialist is responsible for verifying insurance coverage, obtaining visit authorizations, and maintaining accurate patient records within the Home Care Home Base system. They also interface with clinical and office staff to manage appeals and provide support regarding medical guidelines and payor requirements.
The scheduler acts as the primary point of contact for clinical staff to manage patient scheduling, demographics, and productivity levels. They are responsible for handling inbound inquiries and ensuring accurate coordination of care, including caseload reassignments and new referral scheduling.
The Quality Assurance RN is responsible for reviewing OASIS assessments and ICD-10 coding to ensure clinical documentation accuracy and regulatory compliance. They collaborate with clinical teams to identify documentation gaps and support quality improvement initiatives.
