Population Health Assistant

American Addiction Centers•Charlotte, NC

2d•$24 - $36•Remote

About The Position

The Population Health Assistant will coordinate the intake of cases for new and established assignments to expedite the Care Coordination process. This role involves verifying health plan eligibility, obtaining and assessing clinical and non-clinical data, determining appropriate case types, and triaging to the correct resources. The assistant will also initiate and advance the Care Coordination plan, monitor its status, and provide guidance on requirements and processes. Additionally, the role includes researching and maintaining the team's resource library, performing medical literature review searches, and facilitating the implementation of new employer groups. The assistant will coordinate care gap outreach by generating lists of members requiring intervention and processing reminders according to established protocols, ensuring list accuracy and documenting interventions. Training and educating new employees and provider office staff on referral processes, contracts, and benefit plan limitations is also a key responsibility. The role involves developing and generating reports, gathering, compiling, and summarizing data for analysis, and assisting in monitoring and tracking data. The Population Health Assistant will also coordinate the development, ordering, and stocking of materials for Population Health activities, and oversee department files, binders, and records, establishing new record-keeping systems as needed. Routine administrative duties such as screening calls, managing mail, typing, monitoring office equipment, and purchasing supplies are also part of the role.

Requirements

High School Graduate.
Typically requires 5 years of experience in population health management, utilization management, claims, health insurance processing, clinical or care management/quality environment.
Proficiency in the use of ICD-10, CPT and HCPCS coding preferred.
Knowledge of medical terminology.
Ability to manage data systemically.
Demonstrates organizational ability and attention to detail and accuracy.
Advanced skills and knowledge in the use of Microsoft Office (Excel, PowerPoint and Word), Internet explorer and similar products.
Excellent organizational, interpersonal, and communication skills (written and verbal) with the ability to effectively communicate with a variety of individuals.
Exercises independent judgment and demonstrate excellent problem-solving skills while able to still work well within a team.
Ability to demonstrate self-direction in prioritizing and accomplishing job responsibilities.
Ability to maintain a high degree of confidentiality.
Must be able to sit, stand, walk, lift, bend, twist, crawl, kneel, climb, and reach above shoulders at various times in each workday.
Must be able to occasionally lift up to 10 lbs.
Must be able to continuously use a keyboard.

Nice To Haves

Proficiency in the use of ICD-10, CPT and HCPCS coding preferred.

Responsibilities

Coordinates intake of cases on new and established assignments to expedite the Care Coordination process by facilitating the medical review process, verifying health plan eligibility, obtaining and assessing preliminary clinical and non-clinical data or needed additional data, determining appropriate case type, and triaging to the appropriate resource.
Initiates and advances the Care Coordination plan, monitors status and advises regarding requirements, process and status.
Researches, organizes and maintains the team's library of resources, guidelines and policies.
Performs medical literature review searches to support the department.
Facilitates implementation of new employer groups in collaboration with Onsite Nurse and sales staff.
Insures adequate onboarding materials are available and interim reporting tools and processes are in place.
Coordinates implementation of care gap outreach.
Utilizes established criteria to generate lists of members requiring intervention and to process reminders according to established protocols.
Verifies list accuracy and documentation of interventions.
Assists in development and training of new employee department members in areas such as information system programs, individual health plans, and policies and procedures.
Trains and educates provider office staff in referral/authorization process and procedures, contracts, standards, benefit plan limitations, and resource/contact liaisons.
Develops and generates reports, as well as gathers, compiles and summarizes data for reporting and analysis by staff, management and external partners.
Assists in monitoring, tracking and analyzing data.
Coordinates development, ordering and stocking of materials to support Population Health activities.
Initiates design based on branding guidelines and business needs.
Oversees and/or maintains department files, binders, records, logs, etc.
Identifies need of additional record keeping and establishes same.
Performs a variety of routine and moderately complex administrative duties such as screening incoming telephone calls; open, sort and route incoming mail and faxes; typing letters, memos and reports; monitoring office equipment; purchasing/ordering of equipment or supplies.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program