Tri-FLEXSI Home Health Care, Inc
MEDICAID COORDINATOR
Tri-FLEXSI Home Health Care, Inc, Missouri City, Texas, United States, 77489
Job Title: Medicaid PAS Coordinator
Position Summary
The Medicaid PAS Coordinator is responsible for managing all Medicaid Personal Assistance Services (PAS) coordination functions for the agency, with a primary focus on authorizations, service delivery, and
Electronic Visit Verification (EVV) compliance using HHAeXchange (HHA Exchange Plus) . This role ensures PAS services are delivered in accordance with Texas Health and Human Services Commission (HHSC) and Medicaid Managed Care Organization (MCO) requirements, while preventing service interruptions and compliance deficiencies.
Key Responsibilities
Coordinate Medicaid
PAS authorizations and reauthorizations , including tracking units and expiration dates
Verify Medicaid eligibility and MCO enrollment for PAS members
Manage and monitor
EVV compliance through HHAeXchange (HHA Exchange Plus)
Review, correct, and reconcile EVV visits to ensure alignment with authorized PAS services
Resolve EVV exceptions, visit discrepancies, and missed visits in a timely manner
Train and support PAS attendants and supervisors on proper EVV usage and documentation
Collaborate with nursing, scheduling, and staffing teams to ensure authorized PAS hours are staffed
Serve as liaison with Medicaid MCOs, case managers, HHSC, and EVV vendors
Maintain accurate PAS documentation in EMR and EVV systems
Support billing by ensuring EVV data supports claims submission
Assist with
EVV audits, Medicaid reviews, and HHSC surveys
Monitor and communicate changes in Texas PAS and EVV regulations
Qualifications
High school diploma or equivalent required; associate or bachelor’s degree preferred
Minimum of 2 years of experience with Texas Medicaid PAS
Required experience using HHAeXchange (HHA Exchange Plus) for EVV
Strong understanding of Texas PAS rules, EVV requirements, and HHSC compliance standards
Experience working with Medicaid Managed Care programs ( STAR, STAR+PLUS )
Proficient in EMR systems and Microsoft Office
Excellent organizational, communication, and problem-solving skills
Ability to manage high-volume workloads and strict deadlines
Preferred Experience
Prior experience in a PAS or personal care services agency
Experience training PAS attendants on EVV compliance
Experience supporting Medicaid or EVV audits and corrective actions
Bilingual (English/Spanish) preferred
Benefits (if applicable)
Paid time off and paid holidays after 90 days
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Electronic Visit Verification (EVV) compliance using HHAeXchange (HHA Exchange Plus) . This role ensures PAS services are delivered in accordance with Texas Health and Human Services Commission (HHSC) and Medicaid Managed Care Organization (MCO) requirements, while preventing service interruptions and compliance deficiencies.
Key Responsibilities
Coordinate Medicaid
PAS authorizations and reauthorizations , including tracking units and expiration dates
Verify Medicaid eligibility and MCO enrollment for PAS members
Manage and monitor
EVV compliance through HHAeXchange (HHA Exchange Plus)
Review, correct, and reconcile EVV visits to ensure alignment with authorized PAS services
Resolve EVV exceptions, visit discrepancies, and missed visits in a timely manner
Train and support PAS attendants and supervisors on proper EVV usage and documentation
Collaborate with nursing, scheduling, and staffing teams to ensure authorized PAS hours are staffed
Serve as liaison with Medicaid MCOs, case managers, HHSC, and EVV vendors
Maintain accurate PAS documentation in EMR and EVV systems
Support billing by ensuring EVV data supports claims submission
Assist with
EVV audits, Medicaid reviews, and HHSC surveys
Monitor and communicate changes in Texas PAS and EVV regulations
Qualifications
High school diploma or equivalent required; associate or bachelor’s degree preferred
Minimum of 2 years of experience with Texas Medicaid PAS
Required experience using HHAeXchange (HHA Exchange Plus) for EVV
Strong understanding of Texas PAS rules, EVV requirements, and HHSC compliance standards
Experience working with Medicaid Managed Care programs ( STAR, STAR+PLUS )
Proficient in EMR systems and Microsoft Office
Excellent organizational, communication, and problem-solving skills
Ability to manage high-volume workloads and strict deadlines
Preferred Experience
Prior experience in a PAS or personal care services agency
Experience training PAS attendants on EVV compliance
Experience supporting Medicaid or EVV audits and corrective actions
Bilingual (English/Spanish) preferred
Benefits (if applicable)
Paid time off and paid holidays after 90 days
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