About The Position

Manage and maintain the client business accounts and serve as a resource to clients and their families regarding treatment funding options. This is a remote position, but candidates must reside in IL, WI, IA, or IN.

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
  • Must reside in IL, WI, IA or IN

Responsibilities

  • Work hours prescribed and be available to work additional hours when necessary. Overtime may be required.
  • 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.
  • Conduct individual case benefit negotiations with the guidance of the supervisor.
  • Provide information for staff relating to client financial information. Notify staff as to proper funding classification per current procedures.
  • 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.
  • 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.
  • Assist clients with the Medicaid Application process as needed and applicable.
  • Coordinate payment activities consistent with patient/agency agreement. Receive client payments and maintain accurate payment handling and documentation according to current SOP.
  • Maintain accurate funding documentation as related to daily census activity as applicable.
  • Assist clients with the Patient Assistance application process and track the granting and application of Patient Assistance funds.
  • Complete Medicaid/Managed Medicaid/Commercial Insurance authorization requests timely per SOP.
  • Enter into EHR authorizations for all guarantors as applicable.
  • Provide appropriate documentation and reports designed to assist in fiscal management of the agency.
  • Understand and comply with all of the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct.
  • Perform all responsibilities in compliance with the mission, vision, values and expectations of Rosecrance.
  • Deliver exceptional customer service consistently to every customer.
  • Serve as a role model for other staff, clients and customers and demonstrate positive guest relations in representing Rosecrance.
  • Assume other related responsibilities as assigned by management.

Benefits

  • 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
  • Certain facilities offering an on-site gym
  • Daily pay available through financial wellness provider: UKG Wallet
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