Admission Specialist - MAT

Position Summary:“This position is assigned in direct support of the Medication Assisted Treatment(MAT) Mobile program and will contribute to its day-to-day operations, client engagement, and service delivery”.Coordinates the admissions process including insurance pre-authorization for admission. Candidate must have experience working with health insurance companies, performing account set-up & management.Essential Job Functions Admissions Specialist: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.Essential Qualifications:Certifications/Licenses:Must have the ability to obtain CPR & First Aid Certification and an Annual Tuberculosis Test;Ability to pass first level and NABS background clearanceDuring your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform youEducation:High School Diploma or equivalent and two-years of college-level education is preferred.Experience and Competencies:Two years of admissions and insurance verification experience, preferred;Previous experience as a Behavioral Health Tech preferred, but not mandatoryMust be culturally/linguistically sensitive to populations served;Knowledge of the Criminal Justice System, preferredKnowledge/Experience with Substance Abuse / Behavioral Health clientele, preferredBe able to multi-task;Advanced computer skills; ie., typing skills necessaryExcellent documentation & communication skills;Must have the ability to pass a criminal history background screening #J-18808-Ljbffr WESTCARE NEVADA INC