Client Benefits Associate

Client Benefits Associate

Outreach Development Corporation is a non-profit organization that helps people address issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training, and tools to build healthy lives. Our mission is to inspire individuals and families to achieve a life of unlimited potential by developing and delivering the highest quality evidence-based behavioral health services and training.

The Client Benefits Associate will be responsible for the accurate collection and tracking of information related to the client's/family's financial information, participation and/or qualification for Medicaid benefits and/or other insurance, and, overall, for ensuring that the agency maximizes third party revenue utilizing a realistic and fair fee structure that takes into account the individual's ability to pay.

Job Scope:

• Ensure that all appropriate insurance, Medicaid and financial information is collected from each client and/or the parent/guardian of adolescent clients.
• Review financial materials collected and complete the financial section of client's chart including in the case of self-pay clients, setting fee based on income and sliding scale and client's ability to pay.
• Contact client/potential client to clarify any questions related to the client's financial data and arrange for a face to face meeting, if appropriate.
• Monitor clients with Medicaid-pending to ensure follow through with application process and enter any updated information about Medicaid status.
• Individually meet with clients with an outstanding balance to ensure collection of appropriate payments.
• Appropriately document all activity with the client and information related to payments, insurance and Medicaid in the client's chart and/or in the agency's billing system.
• Work closely with the agency's insurance specialists on any insurance related matters, such as denials or authorizations.
• Send invoices to clients with outstanding balances for payment on a monthly basis.
• Post payments to clients' accounts that come through the mail as well as payments that are processed through credit cards.

Office Management Responsibilities:

• Organizes office flow in an orderly and efficient manner.
• Handles telephone intakes and schedules appointments, rescheduling & confirming as needed.
• Types correspondence, reports, memos, etc. Includes proofreading and editing. Records and types minutes from DH meeting and all staff meetings. Copies and distributes to staff.
• Collects house bills, checks for signatures, makes copies for unit file and sends originals to accounting.
• Collects time sheets of all staff and faxes bookkeeping as scheduled. Sends original to accounting and file copy in employee's file.
• Establishes and maintains an efficient filing system for all correspondence and other information for Outreach staff.
• Utilizes the word processing system to facilitate work flow/assist other staff.
• Maintains inventory of supplies and re-orders on a timely basis. Requests service maintenance for all office equipment.
• Compiles all information and prepares stats census for monthly OASAS report. Makes any corrections to Albany when requested.
• Maintains and updates client database by entering all pertinent discharge forms. Works with MIS to keep accurate database.
• Monitors balance of petty cash and prepares check requests.
• Distributes all incoming mail.
• Records dates and requirements of tours/speaking engagements, open houses.

Reimbursement Specialist Responsibilities:

• Prepares Public Assistance application for HRA within 48 hours of a client's admission to Outreach House.
• Removes client from Public Assistance case within 48 hours of a client's discharge.
• Returns clients PNA money to HRA in a timely manner after they have been discharged from Outreach without completion status.
• Functions as a liaison between Outreach House and HRA.
• Writes a monthly Personal Needs Allowance breakdown for Outreach bookkeeping in order to keep resident accounts accurate.
• Monitors that HRA is paying shelter payments/PNA Allowance for all clients whose application has been accepted.
• Troubleshoot any billing/payment problems that are occurring with HRA.
• Monitor that parents are submitting SSI or SSD payments to Outreach House in order to compensate for losses in shelter payments.
• Collect family fees from the parents/guardians during Parent Support Group evenings.
• Bills insurance and is responsible for the collection of insurance payments and denials.
• Responsible for monthly revenue reports.

Each role at Outreach has identified production and outcome goals. These goals may be stated as a number or as an outcome within an identified time frame. These goals are intended to provide each job holder the knowledge they need about expected performance. Accomplishments against these goals will be a discussion point in the annual evaluation.

Supervised by Chief Operating Officer

Qualifications:

• Minimum of HS Diploma
• Strong organizational skills with the ability to multi-task to ensure that all administrative functions are completed in a timely and efficient manner
• Computer literate

Position Status: This is a full-time non-exempt position.

Outreach: Building Healthy Lives