Bilingual Patient Access Representative
Cooperative Counseling Services (CCS)
Cooperative Counseling Services (CCS) is a premier provider of Child, Adolescent, Adult and Family Mental Health Services in NJ. In order to fully realize our commitment to helping our clients achieve optimal health, happiness, and well-being, we rely above all else on our team of outstanding employees. Come join us!
Position Summary (REQUIRES SPANISH FLUENCY, FULL-TIME IN-PERSON IN MOUNTAINSIDE, NJ, M-F 9:00am to 5:30pm): As a FULL-TIME Bilingual (Spanish/English) Patient Access Representative, you are our critical first point of contact for all referrals to our Access Center AND you are an integral support to our APNs in our Outpatient Program. The Patient Access Representative is compassionate and provides highly professional and efficient service to all clients. Provide an excellent customer service experience and maintain positive relationships with the community at-large, clients, referral sources, and colleagues.
Job Responsibilities:
+ Answer calls, emails, faxes, online referrals and respond to all referrals according to targets.
+ Conduct Telephonic Intakes and document within our Electronic Health Record.
+ Schedule Intakes and Psychiatric Evaluations for the Outpatient Program.
+ Provide client portal instructions/reset passwords for new clients.
+ Secure initial insurance payment information (Medicaid and commercial insurance, offer sliding scale, if necessary) and validate insurance coverage.
+ Follow-up on initial 3560 authorizations.
+ Manage the company waitlist after Intake, including monitoring clinician/APN schedules for cancellations, discharges, openings to reschedule and filling open slots. Communicate regularly with clients on the list.
+ Check psychiatric/clinical schedules for following day appointments; follow the process to notify team if cancellations have occurred and actively attempt to fill all cancelled appointments.
+ Ensure all medication management appointments have a next appointment scheduled for follow up on the calendar.
+ Ensure medication consents are signed, and medication fact sheets are provided to the client.
+ Perform Individualized Service Plan (ISP) preparation for the APN’s completion and monitor timely execution.
+ Follow up with labs, orders, portal, requests for reports and/or letters.
+ Obtain Prior Authorizations and address prescription issues as they arise.
+ Provide referrals to clients when directed by the APN.
+ Liaise between client and APN by managing calls and emails; act as first line of communication for clients.
+ Reschedule all no-show/cancelled appointments (intakes, psychiatric, clinical) and remind clients of no-show and attendance policy.
+ Ensure the no-show/cancellation procedure is adhered to by the psychiatric team. Discharge summary is required when initiated by this process.
+ Assign, track, and monitor open referrals and inquiries for the Intensive In-Community (IIC) program.
+ Review CYBER daily for reauthorizations and BPS’s; enter updates into HALO and follow the defined IIC BPS process for all BPS requests.
+ Perform other duties as assigned.
Minimum Qualifications:
This position requires a Bachelor's degree in a Human Services field such as Psychology, Social Work or a related field OR 3-5 years of health care customer service-related experience in a Call Center or other similar customer service environment. Experience working with an EMR system is a plus. Spanish fluency required. Proficient use of Word, Excel, and PowerPoint programs a plus. Working knowledge of basic computer functions i.e., typing, email, etc. Excellent interpersonal skills in working with individuals and groups (e.g., listening, and following directives). Flexible, proactive, courteous, patient, and positive personality with a “can do” attitude is a must.
Compensation and Robust Array of Benefits Include:
+ Competitive Pay
+ Comprehensive Medical, Dental and Vision coverage - Company contributes 50% of medical single premium
+ Generous Paid Leave (Vacation/Mental Health/Earned Sick/Personal)
+ 401K Retirement Plan
+ Nine (9) Paid Holidays
+ Supplemental Insurance
+ Discount offers for entertainment, shopping, and more, including Pet Insurance
+ Family-friendly organization that continually strives to support employees in a motivating and engaging atmosphere
Physical Requirements:
Ability to communicate orally with customers, management, and other co-workers is crucial. Regular use of the telephone and e-mail for communication is essential. Hearing and vision within normal ranges are essential. No heavy lifting is expected. Exertion of up to 10 lbs. of force occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculators, copiers, and fax machines.
CCS is an Equal Opportunity Employer. Not only do we embrace and celebrate the diversity of our clients and community partners, but we also strive for the same in our employees. At CCS, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We are proud to be an equal opportunity workplace.
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