Patient Access Coordinator - Casa Esperanza

About Casa Esperanza

About the role

• Position Summary: Casa Esperanza, Inc. is seeking an articulate, knowledgeable self-starter who can be a compassionate, competent resource for clients interested in our behavioral health and addictions services. At Conexiones Integrated Acute Treatment and Clinical Stabilization Services the goal is to break down barriers to accessing care to withdrawal management and clinical stabilization services. This 32-bed program offers detoxification and post detoxification services to individuals on the grounds of Tewksbury State Hospital.
  As part of the Casa Esperanza, Inc. team, the Patient Access Coordinator provides services in a fully integrated, holistic, and collaborative manner using a team-treatment approach, to ensure the coordination of all client services, both across Casa programs as well as with external providers.  This integrated model aims to facilitate clear communication amongst all providers and eliminate duplication of efforts or conflicting approaches to care; detail necessary follow up and assignments; and ensure-wrap around support services are in place to maximize treatment effectiveness and clinical outcomes. 
   support services are in place to maximize treatment effectiveness and clinical outcomes.
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• Essential Functions & Responsibilities: 
  • Assist referring agencies in providing information and guiding them in admission process.
  • Maintain and update any admission documentation required by Casa Esperanza or licensing agencies.
  • Maintain waitlist portal and denial log to the state and federal guidelines. 
  • Verify that referrals to programs are comprehensive and appropriate based on the American Society of Addiction Medicine (ASAM). 
  • Administer phone interviews with potential clients for treatment if possible.
  • Assessment of potential clients from biopsychosocial history, interview answers, and other forms of communication including gathering information from external or internal providers. 
  • Record and maintain admission database of referrals made, waitlist, and follow-ups. 
  • Record and maintain current bed board across levels of care. 
  • File and organize referrals by adhering to HIPAA and 42 CFR confidentiality standards and Casa Esperanza policies  
  • Communicate with multi-disciplinary team regarding referrals, priority population, waitlisted applicants, and contract utilization.
  • Coordinate and schedule program admissions to program based on bed availability. 
  • Coordinate referrals following state/federal laws and licensing requirements.
  • Coordinate initial appointments for clients being admitted to the program including Case Manager and Counselor within the first 24 hours of arrival. 
  • Answer phone calls, voice messages, and emails regarding referrals.
  • Welcome and greet clients to the program including orientation and tour when needed. 
  • Coordinate with clinical leadership to ensure coverage for all Intake and Admissions outside of scheduled hours. 
  • Work with Patient Access Team on streamlining medication, insurance, pharmacy needs for all incoming patients especially in the MOUD needs of patients. 
  • Communicate daily to practice management teams on authorization needs. 
  • Other administrative duties, as needed. 
• Qualifications & Education:
  • Bilingual - Spanish and English required.
  • A Bachelor of Social Work, Psychology, Counseling, or related Human Services is preferable.
  • 2 years of customer service experience preferred.
  • Experience with confidential information and HIPAA and 42 CFR regulations. General knowledge of Microsoft Office Suite.
• Core Competencies:
  • Ability to communicate with clients, vendors, and external providers in a professional manner.
  • General knowledge of clinical documentation, especially confidence with electronic health records/medical records systems
  • Clear understanding of the urgency to maintain a constant flow of revenue into outpatient programs.
  • Strong understanding EDI functions and procedures, and a willingness to learn Netsmart’s Evolv System.
  • Excellent in managing the volume of denied and appealed claims.
  • Exceptional ability to prioritize multiple tasks and resources.
  • Excellent customer service skills including written, verbal, and telephone communication.
  • Ability to handle multiple tasks and maintain composure during hectic situations.
  • Ability to understand and manage moral/ethical boundaries with clients/staff.
  • Complete Mandatory Training Requirements.
  • Attend workshops, trainings, and in-services as assigned.
  • Knowledge of addiction recovery process, or willingness to acquire within first six months of employment.
  • CPR Certification, willingness to get certified within 30 days of employment.
    
    
• Skills Required:            
   
  • Proficient verbal and written communication skills\
  • Proficient on Computer (Microsoft Office - Word, Excel, Access)
  • Excellent telephone communication skills
  • Confident in speaking and discussing matters over the phone
  • Assertive and confident personality, especially when communicating with referring agents
  • Communicate effectively, articulate ideas verbally and through writing
  • Ability to remain calm, confident and compassionate during stressful situations
  • Must have strong analytical, problem solving, and organizational skills
  • Outstanding interpersonal skills needed to frequently interact with families, providers, and insurance representatives to address a variety of concerns and requests

• Compensation:  $22 - $24 per hour
• Holiday Pay (12 days per year + 1 floating holiday)
• Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
• Sick Pay - 10 paid days per year
• Long / Short Term Disability 
• Paid by Company Life Insurance
• Health Insurance (Medical Dental, Vison)
• Health Reimbursement Arrangement (HRA)
• FSA/DCA (Flexible Spending Account & Dependent Care)
• ComPsych Guidance Resources - EAP
• Educational Opportunities
• Tuition Remission
• Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
• Career Advancement Opportunities
• Increased Salary for Credentials
• and more....

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