EVV Coordinator

Ideal Home Health Agency•Pittsburgh, PA

3d•Onsite

About The Position

We are seeking an organized and detail-oriented EVV Coordinator to support our home health operations. This position is responsible for monitoring Electronic Visit Verification (EVV), patient schedules, billing preparation and submission, insurance eligibility, and required payor reporting. The ideal candidate is dependable, comfortable working with multiple computer systems, and able to identify and resolve discrepancies in a timely manner.

Requirements

High school diploma or equivalent required.
Strong attention to detail, organization, time-management, communication, and problem-solving skills.
Comfortable working with computer systems, spreadsheets, and multiple online platforms.
Ability to monitor time-sensitive information and consistently meet established deadlines.

Nice To Haves

Previous experience with EVV, home health, healthcare billing, HHAeXchange, Availity, NaviNet, or Alora is preferred but not required.

Responsibilities

Monitor patient schedules to ensure visits align with approved Plans of Care and are completed as scheduled.
Monitor the EVV Call Dashboard every two minutes during working hours and review daily for missed visits, errors, or incomplete entries.
Work with caregivers and appropriate staff to promptly resolve EVV discrepancies.
Maintain a minimum 90% quarterly EVV compliance rate in accordance with payor and contractual requirements.
Review and clear prebilling items and prepare claims for billing: 1st–15th: Complete on the first business day after the 15th. 16th–end of month: Complete on the first business day of the following month.
Complete required missed-shift reports according to each payor's deadline: UPMC & Highmark: Monthly, by the 10th of the following month. AmeriHealth & Health Partners Plan: Weekly, every Tuesday.
Use the required reporting platform, including Microsoft Teams/Excel, NaviNet, or HHAeXchange, as applicable.
Verify insurance eligibility for all patients every Monday (Tuesday when Monday is a holiday).
Complete an additional eligibility check on the first business day of each month.
Promptly notify appropriate families and staff of insurance or eligibility changes.
Add new employees/caregivers to HHAeXchange and Alora as required.
Complete additional assignments from other departments while following the deadlines established by the requesting department.