POSITION SUMMARY:

Responsible for verifying funding for each patient that enters Central Intake and transferring or completing precertification within a timely fashion. Maintains accurate documentation to reflect all contacts made. Reports to and functions under the direction, instruction, and supervision of the Provider Services & Baker Act Office Supervisor.

QUALIFICATIONS:

Associate degree from accredited college plus three years' experience in related field, or Bachelor's degree from an accredited college or university, plus 1 year experience in related field. Experience can substitute for education Needs to be able to read and write proficiently, needs to be able to utilize Microsoft Word, Excel, Outlook, Power Point & Avatar.

PHYSICAL DEMANDS:

Abilities in reaching, bending, talking, sitting, carrying, standing, grasping, fine hand coordination, ability to read and write, and the ability to remain calm under stress. Ability to reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl. Must be capable of lifting 20 pounds alone.

WORK ENVIRONMENT:

General office, health care setting with client contact. Most work completed while seated at desk using standard office equipment. Fast paced team approach. Multi-tasking ability requires above average time management skills.

FUNCTIONAL RESPONSIBILITIES INCLUDE:

• Verification of Fund Source for each new patient in Central Intake.
• Completes a transfer or a precertification as indicated by fund source.
• Maintains good documentation on all forms to reflect contacts made for authorization.
• Relays all duties completed and those that need follow up on email shift report for following shift.
• Follows up on all incomplete tasks from prior shift.
• Maintains good communication with other managed care staff, as well as Central Intake and CSU regarding funding & authorization issues.
• Responds to emails regarding changes or updates in funding as soon as they are known, but no later than the end of each shift.

COMPLIANCE RESPONSIBILITIES INCLUDE:

• Adheres to all applicable federal, state, local, and company-maintained standards of compliance, ethics, and policies concerned with the administration and delivery of agency services.
• Meets deadlines, requirements, and expectations as established by the supervisor, agency and department.
• Completes administrative functions and data entry timely and accurately.

CUSTOMER SERVICE RESPONSIBILITIES INCLUDE:

• Provides exceptional customer service in all communications and interactions with staff, general public.
• Maintains confidentiality and remains calm under stress.
• Assists staff with support in all areas of functional responsibility in a courteous, supportive manner.
• Maintains and exhibits servant leadership qualities and exceeds customers' expectations.

FISCAL RESPONSIBILITIES INCLUDE:

• Effective, efficient use of agency resources, systems, equipment and processes.
• Continuous focus on cost savings initiatives across the responsibilities and deliverables.
• Effective use of time management to avoid overtime and budgetary issues.