Must have office administrative skills (e.g. filing, copying, phone communications, composing correspondence, etc.). Incumbent should be knowledgeable and proficient in the use of office equipment, standard software packages and maintenance. Experience should include data entry and word processing.
Role Description
This position is responsible for providing administrative support for various agencies throughout the Commonwealth.
Resources provide support with conducting reviews and crosswalks of national, regional, and local health care codes including but not limited to diagnoses; procedures; medical and surgical supplier and equipment, and pharmacological agents. Resource will complete review of coding project and accompanying documentation and discuss it with the appropriate staff within the requesting agency.
Fiscal Assistant should have knowledge and/or experience with Medical Assistance Programs/coverage in Long Term Care, as well as, the billing process of nursing facilities. Experience in telephone work is desired.
Role Description
Analyzes claims to the 180-day exception regulations to determine if the claims meet the exception criteria and process them accordingly. Conducts hearings for denied claims. Operates the Inquiry line. Assist the teams, nursing facilities� billing staff and administrators, and providers with Minimum Data Set and billing questions.
Must possess a bachelor degree. A combination of education and experience will be considered. The skills that are needed include the ability to develop bid and contract language, review contract invoices, analyze contract project status reports and conduct contract site monitoring visits. Resource must also assist in evaluating, monitoring and analyzing the effectiveness of special program initiatives assigned to the unit. The staff must also assist with project development tasks on new and untested projects assigned to the unit.
Technical computer software skills are required. Familiarity with budgeting, budget analysis and the use of spreadsheet software in budgeting are required. Familiarity with survey tools and survey technique is needed. Workgroup attendance and team participation activities are required for the unit�s assigned projects. General research and on-line computer research skills are required.
Resource needs to be knowledgeable and experienced in general budgeting and accounting principles. Resource also needs to understand and be familiar with the operation of human service governmental operations at the federal, state, county and local levels. Project Troubleshooting and problem solving skills are required.
Role Description
The Fiscal Representative staff provides the unit with knowledge and field experience gained from working in administrative capacities as well as human services administration. Assigned projects are diverse and varied, short and long term, and require flexible and adaptive working proficiency. Project staff assists in gathering and organizing diverse program and technical long term care information for Department of Public Welfare executive staff to use in public forums and answer questions for other states, other Commonwealth agencies, and the legislature.
Possess a documented work history of two or more years of experience performing provider relations/network management and administration within the previous five years and possess basic computer skills, including familiarity with Microsoft Office programs.
Role Description
Resource will provide managerial leadership and oversight to project and processes for the Department. Resource will be assigned to represent the Department of Public Welfare on management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program.
Bachelor of Social Work from an Accredited Social Work Program.
Role Description
Provide support services in areas such as conducting on-site reviews of organizations for the Bureau of Long Term Care and working on issues related to medical and financial eligibility of individuals. Travel required where necessary.
One year of clerical experience in a medical records department of a hospital, or ambulatory acute medical care setting or a licensed nursing facility, which has included six months of experience under the general direction or oversight by a registered Medical Records Technician or Administrator; and graduation from high school; or graduation from a medical secretarial or medical records program; or any equivalent combination of experience and training.
Role Description
This is specialized clerical work in the preparation, classification, and abstracting of medical reports. Resources assist in the initiation and maintenance of medical records by preparing and typing medical reports, abstracts, and summaries, and reviewing and processing medical records to insure their accuracy and completeness. Work includes the coding of physicians' diagnoses using standardized codes such as in the International Classification of Diseases classification system. Work requires a high degree of accuracy and proficiency within the framework of standard methods and procedures. Work is performed under the supervision of a Medical Records Technician, Medical Records Director, Cancer Registry Specialist, or a Cancer Registry Administrator.
Accreditation as a Medical Records Technician by the American Health Information Management Association. Candidates having the higher level Medical Records Administrator certification may substitute this accreditation for the Medical Records Technician, or candidates who are eligible and have completed an accredited Medical Records Technician Program will be accepted for service pending accreditation which must occur within 12 months after commencement.
Role Description
This is technical and supervisory work in the operation of a medical records department in a state facility. A resource organizes and performs the technical work of a medical records department where case histories of all patients are classified and maintained. Important aspects of the work include maintenance of adequate patient, disease, surgery, and physician indices, analysis of medical records for completeness and accuracy to insure their applicability for patient treatment, research, and case study, and supervision of a clerical staff engaged in medical records maintenance functions for compliance with facility, departmental, state and federal accrediting/certifying agency requirements. Work is performed under the direction of an administrative supervisor and is reviewed for compliance to departmental and facility policies and procedures through reports, conferences, and inspections.
Registration as a Medical Records Administrator with the American Health Information Management Association; or two years of experience as a Medical Records Technician; and registration as a Medical Records Technician with the American Health Information Management Association; or four years of experience in the preparation, classification and abstracting of medical reports in a medical records department; and registration as a Medical Records Technician with the American Health Information Management Association.
Role Description
This is administrative work planning and directing the operations of the medical records department in a state facility. A resource directs the facility department that is responsible for the establishment, classification and maintenance of medical records and documents. This resource develops and implements facility policies and procedures required to ensure proper medical records completion and maintenance and compliance with accrediting/certifying agencies' requirements. Work requires a high degree of accuracy due to the frequency of multiple classification or cross references in a single case. Duties include supervision of a clerical/technical staff engaged in the maintenance of complex medical case histories. Work is performed under the direction of an administrative supervisor and is reviewed for compliance to departmental and facility polices and procedures through reports, conferences and inspections.
Americare enters
into an agreement with State of New Jersey Developmental Centers to provide Physical Therapists through 2011.
Americare Services signs up as sponsor for USA
1359 Team Shifty as they compete in the 2010 J/24 National Championship being held in
Marblehead, MA September 17-19, 2010. The
winner qualifies for the 2011 J/24 World Championship in Argentina.
