Excel Template Developer – Healthcare Submission Form with Rate Automation

Only for registered members Canada

3 days ago

Default job background
$350 - $0 (USD) budget
I run a nurse staffing agency and need an Excel submission form redesigned to mirror my existing billing invoice layout. · I will provide: · Current billing template · Current nurse submission form · Assessment types and rate structure per nurse · The new submission template must ...
Job description

I run a nurse staffing agency and need an Excel submission form redesigned to mirror my existing billing invoice layout.


I will provide:

  • Current billing template
  • Current nurse submission form
  • Assessment types and rate structure per nurse


The new submission template must match the billing layout exactly so data can be copied directly into billing without reformatting.


STRUCTURE REQUIREMENTS:
The form must include the following columns in the same order as my billing sheet:


  • Medicaid #
  • Member Last Name
  • Member First Name
  • DOB
  • RN Assigned
  • Visit Date
  • Type of Assessment (RA, CIC, CMCA, IA, NIYA, etc.)
  • County
  • Comments

RATE AUTOMATION (Per Nurse):
Each nurse has different rates depending on assessment type.

The template must:

  • Auto-populate rate based on assessment type selected
  • Store rates in a hidden/locked rate table
  • Prevent editing of rate cells
  • Auto-calculate payout per case
  • Auto-sum monthly total at bottom
The final design should allow easy duplication so I can create separate nurse versions with pre-loaded rate tables.


DATA VALIDATION REQUIREMENTS:

  • Medicaid number required (cannot be blank)
  • Duplicate Medicaid numbers flagged automatically
  • Required fields highlighted if missing (Member Name, DOS, Type)
  • Dropdown list for assessment type
  • Sheet protection so nurses can only edit input cells
  • Locked formula cells

DELIVERABLES:

  • Final locked master template
  • One sample nurse version populated with sample rate structure
  • Brief explanation of how to duplicate per nurse monthly

Budget:
$350

Timeline: 3–5 days

Experience with healthcare billing templates preferred.

Contract duration of 1 to 3 months.

Mandatory skills:
Microsoft Excel, Automation, Accounting


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