The Vendor Service Coordinator facilitates all Purchase of Service (POS) requests by Supports Coordinators and monitors participant satisfaction. Reviews all service invoices for accuracy and records invoices for vendor reimbursement.
Review all Waiver invoices for accuracy and report inaccuracies to the Provider Network Coordinator and CRD Data Analyst.
Provide POS requests from Formstack that have been cross referenced with vendor view notices to compare with Waiver invoices for accuracy.
Conduct Home Visits to complete Attachment J service audits with participants to ensure services are implemented appropriately.
Arrange for service as ordered on POS, post to Vendor View, (COMPASS Billing System) and notify participants of approved services by mail.
Ensure the non-current contract files are archived digitally prior to disposing of them via HIPPA and MDHHS guidelines.
Complete quarterly review (Special Investigations) of licensing reports of residential setting that contract with TIC. Report findings to Supervisor and CMD Leadership.
Maintain the Care Management Department Provider Issue/Complaint Log for new issues related to provider service quality. Coordinate with Provider Network Coordinator regarding remedial actions. Track and trend issues and report annually at the close of the fiscal year.
Monitor, respond (if applicable) and forward all Vendor View messages.
Assign follow up calls for new or changed services and audits record for compliancy.
Review Self Determination budgets with Provider Network Coordinator and Data Analyst to ensure service is provided within 10% requirement of authorized service hours.
Communicates with Provider Network Coordinator and Data Analyst any billing discrepancies that warrant further investigation.
Maintain Databases for :
This job description in not intended to be all-inclusive, and employee will also perform other reasonable related duties as assigned by immediate supervisor and other management as required.
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