Client Benefits Navigator
Description
WORK DESCRIPTION:
Verification of eligibility for all patients presenting for services at Haymarket Center and identifying funding sources for uninsured clients or out of network.
ESSENTIAL FUNCTIONS:
- Notify Haymarket Managed Care Department after contacting the Managed Care Organization to obtain notification/preauthorization for services.
- Works with Central Intake to ensure up-to-date knowledge of empty beds throughout treatment programs at Haymarket.
- Follow up with treatment units to ensure LCD's are being managed.
- Complete an application for benefits on ALL unfunded patients admitted to the facility.
- Follow all applications and coordinate outcomes with patient, Client Benefits and unit.
- Notification of patient admission to managed care companies.
- Faxing and tracking patient admission information and requests for additional days to designated MCO's.
- Document in the system, NextGen, updates about outcomes of application.
- Tracking numbers and outcomes of benefit applications.
- Conduct reminder calls about appointments.
- Call hospitals and other facilities letting them know open beds.
- Maintain all benefit stats.
Requirements
- High School Diploma or equivalent
- Must be familiar with all Haymarket Center clinical programs
- Welcoming, friendly, patient and kind
- Organized multi-tasker and detail-oriented
- Must be able to work flexible hours, days and cover extra shifts if needed
- Must work well as part of a team
Average salary estimate
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