ADMISSIONS COORDINATOR/BILLING CLERK

Rivyve Behavioral Health Inc•Bullhead City, AZ

18d•Onsite

About The Position

The Admissions/Intake person understands the importance of "first impressions" and strives for the best when welcoming clients, family members and guest to the facility. The Admissions/Intake will perform and or oversees the processes of initial assessments, benefit verification and initial pre-certification. Adult behavioral health experience required. Experience with SalesForce or other CRM is preferred. Experience and knowledge of insurance verification and pre-certification is preferred.

Requirements

CPR/ First Aid Certified
Successful candidate must submit to a TB test, or provide a copy of your latest test results in the last 12 months, and Urine analysis.
Must possess a level one Fingerprint Clearance Card (application must be submitted within 20 days of employment)
If in recovery, must have a minimum of one-year sobriety prior to application.
Drivers must have a clean 36-month vehicle record check
Obtain/maintain Arizona Department of Public Safety Fingerprint Card at employee’s expense.
Obtain/maintain CPR Certification.
Complete annual Tuberculosis Testing.
Complete required in-service training

Nice To Haves

Experience with SalesForce or other CRM is preferred.
Experience and knowledge of insurance verification and pre-certification is preferred.
Bachelor’s degree in social services

Responsibilities

Assesses referrals for appropriateness of placement within Rivyve.
Coordinates prospective resident and family admissions.
Reviews past information to assess history and identifies presenting problems.
Tracks all open beds and discharged members within Rivyve residential facility.
Handles all inquiries via email or telephonically for all new admissions.
Works with Adminstrative Director and Clinical Director to ensure state file is in compliance with all intake documentations
Ensure all current updated policies are added to intakes and all intakes are completed by end of business day daily.
Plans and organizers open beds with Clinical Director.
Sends out open bed announcements on as needed basis.
Completes intake searches and UA at admission.
Perform posting charges and completion of claims to payers in a timely fashion
Submit billing data to insurance providers
Work claims and claim denials to ensure maximum reimbursement for services provided
Perform reviews and audits for both Medicaid, commercial plans and other payer sources
Implement, maintain and report on programs initiated by the practice
Coordinates with Medical Director to ensure all follow up appointments are made for member’s medications.
Oversees admission process.
Ensures that all licensure information is provided prior to intake.
Reviews information with RPM and Director of Residential Services prior to intake.
Maintains documentation of intake per licensure standards.
Serves as the liaison with POs, parents, case managers and Rivyve personnel.