Job Description
For nearly two decades,
TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each individual patient by actively listening to their concerns. Then we ask the right questions to learn more about their challenges. Finally, we develop individualized solutions to meet each patients specific needs.
Through our personalized coaching and frequent patient interaction, we decrease the likelihood of adverse patient outcomes, helping patients live happier, confident and more independent lives with a higher level of patient satisfaction. Because of these better outcomes and our value-based model, managed care organizations (MCOs) realize substantial savings while also improving the health of their patients.
Our Vision TenderHeart seeks to be the national leader of innovative, value-based incontinence services to the broadest possible population of patients and healthcare partners. We believe the more people we serve and the more people we help, as efficiently and effectively as possible, the result will be a stronger healthcare system as a whole.
Our Mission TenderHeart is committed to delivering exceptional incontinence management through services and products that improve health outcomes and broaden access to care so more patients can live happier, confident, and independent lives.
Our Values - Integrity: We are committed to honesty and trust in everything we think, say and do.
- Compassion: We care, we listen, we respond.
- Innovation: We create service enhancements that address healthcare challenges.
- Equality: We respect people, value diversity, and promote inclusivity.
Communication: We are committed to transparency and helpfulness in every interaction
Responsibilities:
Core duties and responsibilities include the following. Other duties may be assigned.
- Analyzes and reviews medical records for completeness and accuracy of documentation according to specified insurance standards.
- Once completeness is determined, employee releases sales order for delivery.
- Assures templates are set to run monthly once documentation is determined to be complete.
- Send documentation to physicians office for recertification as needed.
- Turns off templates according to Company policy.
- Assigns needed paperwork severity WIPs according to need.
- Monitors completion of medical records in accordance with insurance standards.
- Audits incomplete records and sends back to Dr. as needed or creates WIPs accordingly.
- Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
- Send complete information to ins companies for authorization required by insurance.
- Compiles, maintains, and reviews logs, reports, and statistical records, and researches records to locate health data as requested.
- Answers calls from patients and health care facilities as needed.
- Maintains and utilizes a variety of health record indexes and storage and retrieval systems.
- Operates computer to process, store, and retrieve health information.
- Assists in identification of medical records needed for research using both manual and computer indexes.
- Assists DocuCert Manager in special studies or research, as needed.
- Trains clerical staff in medical record processing activities.
- Prepares input for computerized medical information systems and for processing insurance, and other forms and documents.
- Participates in traditional and e-learning programs.
- Other duties as assigned.
- Works effectively with other company employees, managers, and departments.
Education, Certificate, and Licensure High school diploma or general education degree (GED); three months industry related work experience and/or training; or equivalent combination of education and experience.
Requirements Must demonstrate practical knowledge of computers, software, and products applicable to the industry. Additionally, the applicant is expected to demonstrate the ability to quickly acquire knowledge of departmental program structure (Mission, Vision, and Goal Statements) and department policies and procedures. Must be able to work a flexible schedule, as needed, and have the ability to demonstrate effective time management skills while working independently with minimal supervision.
Benefit Conditions:
- Waiting period may apply
- Only full-time employees eligible
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Job Tags
Full time, Work experience placement, Flexible hours, Day shift,