Job Description
Provider Support Specialist (LVN) – Telehealth
Position Summary
The Provider Support Specialist (LVN) serves as a clinical resource for physicians and advanced practice providers delivering virtual Transitional Care Management (TCM) services. This role provides real-time clinical, operational, documentation, and workflow support to ensure high-quality patient care, regulatory compliance, provider success, and exceptional patient outcomes.
Key Responsibilities
· Provide daily clinical and operational support to telehealth providers.
· Support providers during virtual patient visits and resolve workflow issues.
· Review charts for documentation completeness, medical necessity, and compliance.
· Assist with educating providers on TCM, E/M coding, ICD-10-CM, CPT, and telehealth modifiers (93/95).
· Support responses to ADR, TPE, UPIC, CERT, and other audit requests.
· Monitor provider quality metrics and documentation timeliness.
· Coordinate with Coding, Quality, Credentialing, Care Management, and Operations.
· Identify trends and recommend process improvements.
· Assist with connect patients to external resources.
Qualifications
· Current unrestricted CA Licensed Vocational Nurse (LPN) license.
· Minimum three years of clinical nursing experience.
· Experience supporting physicians or advanced practice providers.
· Knowledge of telehealth workflows and electronic health records.
· Working knowledge of HIPAA, CMS, Medicare, and clinical documentation standards.
· Excellent communication, organization, and customer service skills.
Preferred Qualifications
· Experience in Transitional Care Management (TCM).
· Experience with telehealth operations.
· Knowledge of Medicare billing and compliance.
· Clinical auditing or quality improvement experience.
Work Environment
· Remote position supporting virtual providers with occasional travel for meetings or training as needed.
Pay: $29.00 - $33.00 per hour
Benefits:
401(k)
Dental insurance
Health insurance
Paid sick time
Paid time off
Work Location: Remote
