Operations
These are the 5 key responsibilities of Client Coordinators (CC).
What are:
1. Partners with Operations and Field Support team members to address staffing shortages, improve patient satisfaction with services and discuss business development opportunities.
2. Builds relationships with Maxim patients and caregivers to understand their scheduling needs and goals.
3. Coordinates patient/caregiver schedules and keeps them updated in the system of record, in real time.
4. Provides non-clinical policy re-education to caregivers, as necessary.
5. Ensures all caregivers meet applicable compliance and contract requirements prior to scheduling them for work.
This is another name for the Patient Information Booklet.
What is Admission Handbook?
These are the job functions that Field Support Scorecard grades.
What are Payroll Accuracy, Rev Cycle Accuracy, Credentialing?
These are the types of payers that CDPAP can work with.
What are Medicaid and Managed Long Term Care?
These are the 5 main responsibilities of the Reimbursement Associate (RA).
What are:
1. Audits weekly timecard/payroll package for accuracy.
2. Determines which shifts/services can be billed and which must be placed on billing hold based on Maxim and payer requirements.
3. As directed, completes timecard/payroll edits to bring payroll and billing data into compliance.
4. Learns, stays current on, and adheres to various healthcare program and state-specific billing & collections rules.
5. Communicates and partners with Team Lead and Reimbursement Specialists on payroll matters.
These are the 5 main responsibilities of Recruiters (RCs).
What are:
1. Sources and screens qualified candidates through various recruitment strategies including social media, events, and text, phone & email outreach.
2. Completes front-end hiring tasks as part of the caregiver onboarding process, thereby enabling Field Support team members to execute their onboarding duties.
3. Provides excellent customer service to patients/families, caregivers, referral sources and other company stakeholders.
4. Contributes to office business development & growth efforts by generating referral leads, participating in strategy discussions and executing marketing campaigns.
5. Coordinates patient/caregiver schedules and keeps schedules updated in the system of record, in real time (in some situations and office).
VSOC, or Verbal Start of Care, occurs at this time.
Prior to admission and after each recertification assessment
The critical step that must be completed before a candidate can complete any compensable activities such as training or orientation.
What is an I-9?
This is the number of customer service calls required for each consumer per year.
What is 1 call per quarter?
These are the 5 main responsibilities of the Reimbursement Specialist (RS).
What are:
1. Confirms all services/sales have the appropriate documentation such as nursing notes, worker timecards, authorization, purchase order and other payer requirements prior to billing.
2. Completes any appropriate edits, including modifying shifts to reflect the proper times/personnel and adjusting billable hours/units in accordance with the payer’s rounding rules.
3. Addressed billing holds not included in the weekly payroll process (e.g. – Waiting for Primary Denial, Missing Insurance Verification Form, etc.).
4. Verifies both new and existing patient benefit details.
5. Participates in monthly Revenue Cycle Collaboration calls with their respective offices and the office’s area leadership.
These are the 5 main responsibilities of the Recruitment Operations Manager (ROM).
What are:
1. Develops and implements the overall recruitment strategy for the office or specific business line.
2. Leads, manages, and coaches a team of Recruiters (RCs) and Client Coordinators (CCs).
3. Drives referrals, prepares reports and works to improve customer service, recruitment activity, hiring trends, caregiver retention, and shift fill rates, among other key performance indicators.
4. Builds relationships and effectively communicates with patients, caregivers, case managers, physicians, community members and other stakeholders.
5. Partners with office Field Support and Clinical team on day-to-day tasks, projects, and initiatives.
These are the 5 main responsibilities of Clinical Supervisors.
What are:
1. Supervises the clinical aspects of patient cases (e.g. care quality, patient/family satisfaction with services, etc.) via in-home supervisory and recertification assessment visits.
2. Supervises Maxim caregivers by assessing and improving caregiver competence, care delivery and compliance with applicable policies and standards of care.
3. Supports caregiver onboarding by participating in caregiver interviews, orientations, and training.
4. Completes patient admission visits/assessments independently or in partnership with the office clinical leader and/or any caregivers assigned to the patient.
5. Completes regular quality assurance (QA) measures and enacts/supports performance improvement plans designed to improve patient outcomes.
These are the 5 key responsibilities for Field Support Specialists (FSS).
What are:
1. Greets and provides excellent customer service to all visitors. Manages the front desk console and provides clients and customers with a positive first impression.
2. Under the guidance of the Field Support Manager, maintains proficiency in all support functions and activities to ensure office operations are met.
3. Assists candidates through the application, hiring, and onboarding process.
4. Coordinates and accurately processes all payroll and billing information into the applicable system to be exported to headquarters for billing of client services.
5. Maintains medical records in accordance with policies and procedures.
These are the forms a consumer must complete with Maxim before their case can be opened.
What is the Homecare Agreement Form and Consumer Acknowledgement Form?
These are the 5 main responsibilities of the Billing & Collections Team Lead (TL).
1. Leads and manages Billing & Collection team operations on behalf of the Maxim offices of which they’re assigned.
2. Monitors collection of services/accounts and prioritizes outstanding accounts/balances not paid outside of 90 days (i.e. “AR over 90”).
3. Creates and executes billing, collections, and documentation review strategies in close collaboration with office Field Support and Operations teams.
4. Participates in monthly Revenue Cycle Collaboration calls with their respective offices and the office’s area leadership.
5. Hires, trains, manages, and develops Reimbursement Specialists & Associates.
These are the 5 main responsibilities of the Operations Manager (OM).
What are:
1. Manages overall agency operations including maintaining standards of care, agency financial health and compliance with all applicable policies and regulations.
2. Communicates and models the company’s mission and vision and fosters a culture of mutual trust and respect.
3. Partners with office Clinical and Field Support leaders on office and company initiatives.
4. Creates and executes annual sales forecast and budget.
5. Hires, manages, and develops Operations team members.
These are the 5 main responsibilities of the Clinical Manager.
What are:
1. Provides clinical leadership and oversight for specific business lines within the office, if office has a DCO, OR for all business lines within the office if there is no DCO.
2. Partners with Ops and FS leaders in the performance of various office management functions.
3. Plays key role in executing the office’s quality assurance and performance improvement (QAPI) program, in collaboration with Operations and Field Support teams.
4. Partners with business development, recruiting and client coordinator teams to identify caregiver/patient matches based upon caregiver skills and patient care needs.
5. Assists Clinical Supervisors with caregiver orientations, training, and performance management.
These are the 5 key responsibilities for the Field Support Team.
What are:
1. Oversees the execution of the caregiver onboarding experience.
2. Maintains compliance with HR, payroll, billing and medical record policies and regulations.
3. Oversees the weekly, front-end billing process and ensures that the office’s payroll and billing package is transmitted timely and accurately to HQ.
4. Implements and develops best practices, tools, and processes that deliver efficiencies across different aspects of the business.
5. Ensures caregivers and field staff meet all requirements prior to working in the field.
These are the EVV compliant methods of documentation.
What is Telephony and Maxim Care Mobile?
These are the 5 main responsibilities of the Operations Support Manage (OSM).
What are:
1. Leads and manages Billing & Collection team operations for their respective region.
2. Develop team through use of individual development plans, role specific competencies, mentorship, stretch assignment, and established succession plans.
3. Provides a high level of customer service between direct reports, team members and external stakeholders including field support partners, payers, patients, and referral sources.
4. Creates and executes billing, collection, and documentation review strategies.
5. Identifies trends/variances within the revenue cycle through root cause analysis.
These are the 5 main responsibilities of the Operations Team.
What are:
1. Overall management of agency operations including but not limited to maintaining standards of care, agency financial health and compliance with all applicable policies and regulations.
2. Achieving caregiver recruitment production targets (e.g. G2s, interviews, hires, starts).
3. Achieving business development (“sales”) production targets (e.g. meetings with referral sources).
4. Creating and executing the office’s strategic plan, annual budget and long-term vision.
5. Ensuring market profitability and consistent year-over-year gross profit and net income growth.
These are the 5 main goals and responsibilities of the Clinical team.
What are:
1. Making the determination on referral acceptance/declination and admitting new patients whose care needs align with the scope of services provided by the office.
2. Continual and ongoing assessment of the health status and care plans of Maxim patients.
3. Training, mentoring and supervising caregivers in addition to assigning caregivers to patients based on both patient acuity and caregiver experience/competence.
4. Completion of various quality assurance and continuous improvement measures intended to improve patient outcomes and experience.
5. Maintaining compliance with all applicable clinical standards, laws, regulations and policies.
These are the 5 main goals and responsibilities of the Field Support team.
What are:
1. Facilitation and execution of the caregiver onboarding process.
2. Completion of caregiver payroll functions that result in the delivery of accurate and timely weekly pay to Maxim caregivers.
3. Achieving and maintaining HR requirement compliance for all caregivers so caregivers remain in “active” status and able to work.
4. Organization and maintenance of patient medical records.
5. Assisting with or leading initiatives related to the implementation of new processes, systems and policies.
The 5 main goals and responsibilities for the CDPAP Team.
1. To provide knowledge and education about the consumer directed program to our community.
2. To assist consumers and PAs through the onboarding and admission process.
3. To educate consumers and PAs on an on-going basis and ensure compliance with state regulations.
4. To act as a liaison between consumers and insurance providers.
5. To represent Maxim as a fiscal intermediary.
These are the 5 main goals and responsibilities of the Billing Department.
What are:
1. Confirming that all services/sales, prior to billing, have the appropriate documentation such as nursing notes, worker timecards, authorization, purchase order and other payer requirements.
2. Generation and submission of insurance claims and invoices to insurance companies and other payers
3. Researching and executing collection efforts for claims/accounts not paid timely, among other Accounts Receivable (AR) functions.
4. Preventing avoidable write-offs by prioritizing claims nearing timely filing deadlines and through education to office teams on billing-related expectations and best practices.
5. Providing superior customer service to other departments, office teams, patients, and payers.