Clinical Services Assistant II - Empire in Latham, NY at Beacon Health Options

Date Posted: 2/20/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic Clinical Services Assistant II to join our team at our office in Latham, NY! The Clinical Services Assistant II serves as the primary support mechanism for all non-clinical administrative tasks so that clinical staff may focus on clinical priorities and ensure that critical business needs are met.

Position Responsibilities:

  • Responsible for ambulatory follow up procedures to ensure that members have access to aftercare providers and receive the assistance they may need to reschedule appointments. This includes completing all protocols related to follow up activities and survey requirements such as:
    • Placing follow up phone calls to facilities, members and providers confirming reviews
    • Verifying appointment attendance
    • Discharge planning coordination calls
    • Distribution of outreach letters
  • Primary contact after customer service for provider questions involving single case agreements, authorizations, claims processes and technical assistance
  • Determines the eligibility and benefit status of all participants. Builds reviews in the connect system as required by workflows. Communicates with clinical team manager when barriers are identified to completing assigned tasks.
  • Responsible for the daily monitoring of assigned queues and immediate reporting of variance that include but are not limited to CMS calls; connect queues, and individual queues when directed by the Clinical Manager/Supervisor.
  • Record member/provider inquiries into the Connect system and completes administrative functions as necessary. Conduct provider searches and record findings including provider status.
  • Assist clinical care managers to locate community resources for referral purposes
  • Primary contact for building and authorizing outpatient cases for members and providers through the registration process and the screening criteria tool.
  • Assist with reporting requirements when requested.
  • Responsible for sending and distributing clinical faxes per contract requirements and HIPPA policy. Monitors fax machines for documents with PHI as well as functionality (paper loaded)
  • Other duties as assigned to allow Care Managers to focus on assessments and reviews.

Position Requirements:

  • Education: High School diploma or GED equivalent required, Associates Degree preferred
  • Relevant Work Experience: 3 years of progressive experience in customer service or healthcare required
  • Knowledge, Skills & Abilities:
    • Basic computer skill
    • Knowledge of Microsoft Office products
    • Excellent customer service skill

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled​.

#CB

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