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New Client Intake:
Complete New Client Intake form with emphasis on importance of parent/patient commitment to treatment prescribed by CVAP providers.
Add and maintain client on the New Client Activity sheet (NCA)
Verify benefits with insurance carrier(s) and/or other funding source(s)
Work with Regional Directors to determine acceptance and projected start date
Communicate with client family to discuss benefit details and acceptance for services
Prepare and send out patient packet and ensure completion by client and/or family member
Obtain and review funding source contracts to ensure accuracy
Enter client into database once funding source contract is verified; i.e. Insurance Authorization, Purchase of Service (POS), Individual Service Agreement (ISA), and Individual Education Plan (IEP)
Obtain and review initial assessment report from clinical team, ensure minimum requirements are met per funding source and submit to insurance carrier(s) to obtain concurrent authorization
Reconfirming benefits with funding source routinely
Maintain client record and authorization/funding source contract(s) in database; i.e. Insurance Authorization, Purchase of Service (POS), Individual Service Agreement (ISA), and Individual Education Plan (IEP)
Obtain and review concurrent reports provided by the clinical team to ensure the minimum requirements are met per insurance company and submit to insurance carriers for reauthorization
Respond to client, family, funding source and/or clinical staff inquiries regarding benefits, authorization status, funding source treatment requirements etc.
Follow up weekly with client and/or family member to obtain their current status of interest of services, update address changes, update availability changes, and provide CVAP status of availability for treatment
General and Support Work:
Coordinate with Regional Center to provide necessary information for patient assistance with patient financial responsibilities
Identify Regional Center clients to determine the ability to transition to insurance funding
Obtain weekly rendering status report from the Scheduling Department and review to ensure contracts are correctly entered into database and if necessary update accordingly.
Prepare Contract Aging Report (CAR), send to Regional Directors for their review and make updates as changes occur. Purpose of report is to identify contract/authorization coming up to expire and ensuring proper documents are received timely in order to obtain reauthorization from funding source
Other tasks as assigned by supervisor, director, CEO, CFO
Qualification - Education:
High School Diploma or GED equivalent
Qualification - Experience:
3 - 5 years of recent experience with intake coordination services and procedures in a high-volume setting working directly with insurance carriers, patients/clients, and state and federal funded agencies (Required)
Prior experience demonstrating the ability to influence potential customer’s decision and ability to effectively articulate the employer/agencies attributes (Required)
Prior experience in demonstrating effective written and oral communication skills (Required)
Prior experience in demonstrating exceptional organization skills and ability to multitask in a fast-paced environment (Required)
Prior experience successfully demonstrating the ability to manage a high call volume environment (Required)
Applied Behavior Analysis (ABA) related field experience (Preferred)
Prior experience in working with NPA Works database (Preferred)
Bilingual preferred; the ability to understand and to make one’s self understood to all Spanish speaking individuals (Preferred)