Electronic Visit Verification Specialist

1 month ago

Boston, Massachusetts, United States Tempus Unlimited Inc. Full time

Job Summary:

Tempus Unlimited Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. We are seeking a skilled professional to join our team as an Electronic Visit Verification Specialist, Focused Skills Trainer, and PCA Program Support Specialist.

Key Responsibilities:

  • Provide training and ongoing support for Electronic Visit Verification (EVV) systems.
  • Monitor and report any issues with ongoing compliance with the use of EVV.
  • Provide issue-focused EVV functional skills training within 3 business days of a request from the Consumer or the Surrogate, as well as the Fiscal Intermediary (FI), or Executive Office of Health and Human Services (EOHHS), or PCA Management (PCM) regarding a specific issue of PCA management.
  • Work with consumers and surrogates on creating/obtaining emails and provide information on EVV devices, vouchers, and exemptions.
  • Provide issue-focused functional skills training within 3 business days of a request from the Consumer or the Surrogate, as well as the FI, or EOHHS, or PCM management regarding a specific issue of PCA management.
    • Overutilization submission of timesheets for more hours than what are approved.
    • Under or No utilization- submission of timesheets are for less hours than approved. Timesheets are not submitted. Timesheets not submitted for 6 months must be identified and reported to MH.
    • Bill while inpatient- This is not allowed under PCA program.
    • Late Timesheets Department of Labor rules require payment for time worked upon the end of the pay period.
    • Overtime requests and submission.
    • Overtime requests are submitted to Optum PAU within 1 day, and assist with oversight of outreach for renewals.
  • Issue-focused telephone FST for those consumers who receive MassHealth corrective action plans for excessive overutilization.
  • Support skills trainers and assist when issues arise with the proper enrollment into Tempus Fiscal Intermediary and/or new hire of PCA, as needed to get the program started, especially if there are issues above and beyond.
  • Work with PCM management team regarding quality of services and produce and review reports as requested.
  • Maintain confidentiality in all consumer-related issues.
  • Attend in-service, supervision, and staff development meetings when requested by manager.
  • Demonstrate a working knowledge of program policies and procedures and Mass Health regulations.
  • Demonstrate a commitment to the Independent Living philosophy of consumer control.
  • Must report all suspected incidents of consumer sexual/physical abuse and neglect to the Disabled Person Protection Commission (DPPC).
  • Work within policies to complete and submit internal requirements.
    • Progress Notes
    • Paylocity, Outlook Schedule
    • Mileage and Expense Forms
    • Perform other duties as assigned

Requirements:

  • At least three years providing services for persons with disabilities.
  • Knowledge of PCA programs is required.
  • Experience or education in skills training is required.
  • Knowledge of community resources and social service systems is beneficial.
  • Excellent communication, organizational, and writing skills.
  • Basic computer skills in Microsoft Office/Outlook and the ability to navigate databases.
  • Specialized training provided as needed.

Education:

  • GED or High School Diploma required.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and/or hear. The employee is frequently required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Travel:

Travel is required for this position. Must have a valid driver's license and reliable vehicle to travel within assigned service area.

Other Duties:

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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