Assesses and verifies insurance coverage and financial eligibility for patients seeking services
Reviews benefits, coverage limitations and service-specific requirements
Maintains accurate insurance records for all new intakes and walk-in patients
Consults with patients or guardians to explain coverage, financial obligations and available options for accessing care
Advocates on behalf of patients to identify workable financial solutions
Maintains working relationships with Social Security, Medicare, Housing Authorities and community partners to resolve benefits issues
Provides ongoing benefits support for clients who require recurring assistance with maintenance of their programs
Supports Therapeutic Community program clients with spenddowns, ABLE accounts and related follow-ups/escalations
Minimizes unpaid days for Therapeutic Community program clients related to insurance, backpay and gaps in coverage
Verifies insurance for acute bed days vs indigent contract days and reviews acute hospital bed days invoices each month to verify insurance for retro-coverage via the hospital
Verifies FORP insurance benefits and adds in electronic record
Supports AOT program clients with spenddown, ABLES accounts and/or referral information for insurance readiness
This position is deemed safety-sensitive
EDUCATION AND/OR EXPERIENCE:
High school education or equivalent
Three years related experience
The Centers is committed to meeting the unique and evolving needs of individuals by providing comprehensive, integrated care that promotes physical, emotional, and social wellness for all.
For additional information about The Centers, please visit our website at www.thecentersar.com