Job Description

Summary of duties:
At Outer Cape Health Services, it is our very basic belief that it is people who have made Outer Cape Health Services' growth and success possible and that we have been fortunate in employing people who take pride in the services we provide. Our goal at OCHS is to employ those who (1) always meet or exceed standards; and (2) care enough to ensure that whatever they do, they do well. Under the supervision of both Director of Clinical Applications and Director of Behavioral Health or other assigned professional, assists behavioral health and recovery service providers by performing a variety of duties to support and support services for the health care providers, clinical staff and patients to facilitate the delivery of health care.

Essential Functions
Maintains patient confidentiality and observes HIPAA regulations at all times.
Provides support to behavioral health and recovery services providers.
Responds to patient and provider requests within 48 hours utilizing the EMR
Monitor work queue for behavioral health and recovery referrals, assigning to associated staff
Performs brief triage/screening for patients seeking behavioral health services and documents results in EMR
Prepares and send patient letters as requested by providers
Prepares and tracks intake paperwork, ensuring that all signed paperwork is scanned into EMR.
Prepares prior authorizations for behavioral health and documents in EMR
Manages faxed or mailed paperwork in a timely manner
Prepares telephone encounters as needed to providers or nurse
Schedules patients for clinician-ordered referral intake appointments.
Obtains all PCP approvals as per clinical staff requests as well as ensuring all other referrals are approved prior to patient appointment.
Tracks referrals placed for day treatment, follows up with patients whose enrollment status changes per BSAS regulations. Maintains documentation of all patient interactions.
Follows up on no-show appointments per Behavioral health clinical staff request.
Types, files and performs related clerical work as required or assigned.
Assists in maintaining statistical data as requested.
Track visits and authorization time limits in coordination with billing department
Greet, register and direct patients and visitors to the AIM Wellness Center
Make and answer telephone calls at the AIM Wellness Center in a professional manner
Conduct insurance eligibility and verification; update Providers; utilize insurance web site and search engines
Ensure patient demographic and billing information is accurate
Report monies taken daily and report to Billing Department
Monitoring Patient Portal communication with patients
Collect Co-pays and account balances

Additional Duties
Books appointments for patients if needed.
Manage provider schedules as requested
Other related duties and projects as assigned.

Core Competencies/Core Clinical Competencies
Has excellent communication and customer service skills
Has excellent computer skills
Knowledge of insurance products

Work environment:
Some work may be done from home after an initial training period
May be required to lift small loads. Must have the ability to travel to all sites as needed.

What we need from you:
Required Qualifications, Education, and Experience
Medical terminology and computer experience required.
Knowledge of EMR and Microsoft Windows and Office products required.
Experience in problem resolution and prioritization required.

Preferred Qualifications, Education, and Experience
Position requires High School diploma or equivalent
Strong organizational skills and the ability to process a high volume of referral material in a timely manner required. Basic insurance knowledge helpful.
Position requires up to six months office experience including extensive public contact, preferably in a health care setting.
Computer skills a must. PC Knowledge with Word & Excel a must