Position Summary:

Coordinates the admissions process including insurance pre-authorization for admission. Candidate must have experience working with health insurance companies, performing account set-up & management, have medical terminology knowledge, possess excellent computer skills and be detail oriented. Experience in Behavioral Health setting is also preferred.

Essential Job Functions:

Documents all incoming calls regarding admissions and accurately inputs all necessary information into admissions database. Verifies insurance by checking enrollment and funding status in multiple databases and documents insurance benefits in admission database prior to admission. Facilitates completion of any client information, financial payments, authorizations or other documentation at the time of admission. Maintain proper balance regarding source of payment (fee for service, BHO/NBH, public, private and third party payers) Responsible for educating clients on benefits and opportunities within the WestCare system. Resolves any issues with coverage and escalates complicated issues to the department manager and/or director. Coordinate with the billing specialists to assure all admissions/transfers/discharges are completed within the appropriate time frame. Work collaboratively with treatment teams of all programs, communicating information needed to maximize good customer service to clients, referral sources and third party payers. Maintain daily census and provide census information to internal and external sources on a timely basis. Assist all clients with application process for Medicaid by assisting with completion of the application, addressing any questions or concerns and helping the client to find the most appropriate coverage option available. Relay reporting information to Assistant Director of Billing regarding non-insured clients, daily. Perform other duties as assigned.