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Position Purpose : Manage and maintain the client business accounts and serve as a resource to clients and their families regarding treatment funding options.

Qualifications / Basic Job Requirements :

• High School diploma or GED
• Minimum of two years experience in handling third party insurance claims
• Computer data entry ability
• Excellent verbal communication skills
• Must be emotionally and medically able to perform essential job responsibilities
• Must be free from active or infectious diseases

Essential Responsibilities :

1. Work hours prescribed and be available to work additional hours when necessary. Overtime may be required.

2. Handle all third party insurance processing for patients, including determination and verification of benefits, financial interview with clients or guardians, and follow-up of financial commitments, while checking for consistency of commitments.

3. Conduct individual case benefit negotiations with the guidance of the supervisor

4. Provide information for staff relating to client financial information. Notify staff as to proper funding classification per current procedures.

5. Conduct registration with all new / returning clients, including, but not limited to, concurrent documentation in EHR of demographic information, reviewing and ensuring completion of opening paperwork, and effective communication to clients and staff regarding admission- site specific.

6. Conduct Medicaid / Medicare or other insurance coverage verification and confirm / update Financial Eligibility and Authorizations (as applicable) on all new clients and at least once / mo on all open clients.

7. Assist clients with the Medicaid Application process as needed and applicable

8. Coordinate payment activities consistent with patient / agency agreement. Receive client payments and maintain accurate payment handling and documentation according to current SOP.

9. Maintain accurate funding documentation as related to daily census activity as applicable.

10. Assist clients with the Patient Assistance application process and track the granting and application of Patient Assistance funds.

11. Complete Medicaid / Managed Medicaid / Commercial Insurance authorization requests timely per SOP.

12. Enter into EHR authorizations for all guarantors as applicable.

13. Provide appropriate documentation and reports designed to assist in fiscal management of the agency.

14. Understand and comply with all of the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct.

15. Perform all responsibilities in compliance with the mission, vision, values and expectations of Rosecrance.

16. Deliver exceptional customer service consistently to every customer.

17. Serve as a role model for other staff, clients and customers and demonstrate positive guest relations in representing Rosecrance.

18. Assume other related responsibilities as assigned by management.

Schedule : Monday-Friday, 8am to 4 : 30 pm

Physical Requirements / Percentage of Work Time

1. Vision : Must be able to read printed and / or handwritten materials from a variety of sources 75-100%

2. Hearing : Must be able to hear well enough to communicate with coworkers 50-79%; answer incoming phone calls 25-49%; interact with the public 25-49%

3. Standing / Walking / Mobility : Must have mobility between departments within the facility 25-49%

4. Climbing / Stooping / Kneeling : 0-24%

5. Lifting / Pulling / Pushing : Must exert up to 20 pounds of force occasionally and / or up to 5 pounds of force frequently to lift or move objects 25-49%

6. Fingering / Grasping / Feeling : Must be able to finger keyboard for computer work and phone equipment for placing / receiving calls 50-74%

7. Sitting : must be able to sit for prolonged periods of time when using the computer 25-49%

Benefits : Rosecrance values its employees and offers a comprehensive benefits package, including :

• Salary based on education, experience, and credentials
• Medical, dental, and vision insurance with multiple plan options to meet your needs
• 401(k) plan with employer match and discretionary employer contribution
• Group Life Insurance including LTD and AD&D
• Tuition assistance and licensure / certification reimbursement
• Paid Time Off, sick time, bereavement leave
• Referral program earning up to $1,000 per hire!
• Wellness plan and certain facilities offering an on-site gym

About Us

Rosecrance is a leading non-profit provider of comprehensive behavioral health services in the United States. With over 100 years of experience, Rosecrance is dedicated to helping individuals and families overcome substance abuse and mental health challenges.

We operate a network of treatment centers and outpatient programs, offering evidence-based therapies and compassionate care to promote lasting recovery.

If you are passionate about making a difference in the lives of individuals and families affected by substance abuse and mental health disorders, we invite you to join our team at Rosecrance.

Note : Only candidates selected for an interview will be contacted.

Health and Safety

Enjoy a safe and healthy work environment! As a federally funded company, Rosecrance operates under multiple licenses and accreditation agencies, requiring strict adherence to their respective laws and policies concerning employee health and safety requirements.

Compliance with the company's health policies is a condition of employment.

Equal Employment Opportunity

Rosecrance is an equal opportunity employer and values diversity in the workplace. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, marital status, veteran status, or any other legally protected status.

Our hiring decisions are based solely on qualifications, skills, and experience relevant to the requirements of the position.

Last updated : 2024-03-23