Client Benefit Coordinator

:

Salary Range: $22/hr. - $24/hr. - Based on years of experieince and educational degree

Schedule: Monday - Friday, 8:00 am - 4:30 pm flex, plus weekend hours

The Resource Recovery Center of Orange County is dedicated to providing the highest quality of care to those suffering from Alcohol and Substance Use Disorders. Substance Use Disorders are chronic illnesses, and treatment provided is based upon the presenting needs of the individual. Our goal is to help individuals and families begin the physical, emotional and spiritual healing process by utilizing compassionate, encouraging and evidence-based practices. We ultimately strive to guide individuals, and their families, towards a goal of living life to its full potential-free from addiction.

GENERAL DESCRIPTION:

The Client Benefit Coordinator is responsible for all operational functions related to the determination of financial eligibility. Determination of financial eligibility will cover potential clients, post-admission benefit maintenance and discharge benefits coverage. This will include benefit verification, benefit applications as needed, client financial responsibility and associated tasks.

TASK AND RESPONSIBILITIES:

• Verify insurance benefits and submit authorization notification within 48 hours of admission.

• Investigates client insurance coverage when applicable by conducting payor calls, as well as utilizing insurance carrier portals and web tools.

• Submits initial notification to insurance carrier with level of care determination.

• Processes and follows up on client financial responsibility including self-pay, copayments and deductibles.

• Provides client insurance status to the appropriate departments based on the needs of the client.

• Enter the client payor including effective date in EHR to initiate billable services.

• Secures the release of information for assignment of benefits and responsibility of account.

• Maintains confidentiality of all materials handled in performance of assigned duties.

• Knowledgeable of on and offsite resources, programs operations and staff members.

• Knowledge of payor requirements for authorization and billing.

• Maintains certification as a Certified Application Counselor for the NYS of Health Market Place.

• Comply with all certification and continuing education requirements.

• Maintain client accounts by obtaining, recording and updating demographic and financial information.

• Actively participates as a supportive team member in integrated services including Admissions department, Discharge Planning, Clinical, Nursing and Medical.

• Actively participate in client discharge planning process for application of additional benefits as needed, financial eligibility and benefit availability.

• Attends weekly/monthly staff meetings as appropriate.

• Other duties as assigned by the supervisor.

MINIMUM QUALIFICATIONS:

• High School Diploma or equivalent

• Certified Medical Biller and Coder (Preferred)

• Certified Application Counselor NYSOH (Preferred)

• Two (2) years of related work experience

SKILLS:

• Strong interpersonal skills

• Strong attention to detail and organization

• Proficient with Insurance Web-portals and Microsoft Office Tools

• Excellent communication skills

• Proficient with electronic medical records

• Ability to work under pressure.

• Ability to multitask and utilize time efficiently.