Health Information Technician for Care Management Services

CHSGa•Hawkinsville, GA

6d•Onsite

About The Position

Join us at NextStep Care QA & Compliance – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities.

Requirements

High School Diploma or equivalent required
Three years of experience in healthcare
Valid Driver's License
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or associates of the organization.
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format. The ability to deal with problems involving several concrete variables in standardized situations.
Proficiency with Microsoft Outlook
Proficiency with Microsoft Excel
Proficiency with Microsoft Word

Nice To Haves

Previous Medicaid or case management experience preferred
Customer service oriented.
Excellent organizational and prioritizing skills required
Should possess good marketing and communication skills.
Computer skills required.

Responsibilities

Maintains accurate member records in electronic health record, including Level of Care (LOC) Prior Authorization numbers and submission dates, approval/denial dates and effective/expiration dates.
Retrieves daily LOC approvals and denials from the Medicaid portal (GAMMIS) and maintains accurate data in software tracking tools with the approval status.
Communicates effectively with operations, assessment department, health care navigation team and external stakeholders regarding approvals and denials. Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Maintains appropriate information in software tracking tools regarding transmission of patient information.
Knowledge of care management and Medicaid waiver admissions and assessment requirements. May process requests for records from outside entities in conjunction with members of the Quality department.
Honors patient’s rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage complaints.
Complies with Corporate Compliance Program.
Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
Follows established safety regulations, including fire protection/prevention, smoking regulations, infection control, etc.
Complies with all Privacy & Security programs.
Obtains pertinent information from care management and assessment team members.
Verifies that assessments are reviewed, submitted, and tracked through internal systems.
Ability to evaluate patient information to ensure information included is accurate, complete and necessary to support patient care or to facilitate billing.
Maintains listing and Electronic Health Record with submission details and status.
Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
Communicates effectively and appropriately across departments and programs.
Documents necessary communication in electronic case management system including entering notes in database.
Navigates client databases and program specific spreadsheets/documents.
Navigates system case management as part of a patient centered transition of care.
Knowledge of health system services available through case management and other health service lines.
Attends and participates in continuing education programs to maintain knowledge of industry specific changes and trends.
Attends and participates in mandatory in-service training.
Performs other duties as necessary to ensure the success of the System.