- Maintains relationship with payors to ensure data accuracy for closure process.
- Maintains internal closure log for all sites to ensure a successful closure process.
- Tracks requested, follow up attempts and receipt of medical information from Primary Care Physicians.
- Prepares, tracks, and maintains reports to provide pertinent data, using indicated documentation.
- Verifies data report accuracy and integrity and upholds confidentiality of protected health care information.
- Assists in reconnecting members with services who have not had outreach for an extended period of time.
- Complete and updates appropriate clinical documentation to ensure an updated record.
- Schedules and links members to appropriate appointments and future services within the organization.
- Coordinates with IS on design, development, and execution of complex queries to pull data from CODAC systems.
- Coordinate project based work.
- Communicates with stakeholders, members, and participants, staff, and the public in a manner that reflects positively on the agency.
- Works with all levels of internal staff to address system discrepancies.
- Assists in all aspects of roster reconciliation for members pending closure.
- Returns all inquiry calls within 24 hours excluding weekends and holidays.
- Performs other related duties in accordance with agency growth and changes.
- Masters or Bachelors degree in a healthcare field and no related experience OR;
- Masters or Bachelors degree in a non-healthcare related field and 3 months relevant related experience OR;
- Associate degree in a healthcare field and 6 months related experience OR;
- Associate degree in a non-healthcare field and 1 years related experience OR;
- Certified Medical Assistant and 1 year related experience
- Certified Peer Support Specialist and 1 year related experience OR;
- High School diploma or General Education Equivalent (GED) and 2 years related experience.
- Commission Certified Care Manager (CCCM), a plus.
- Valid Arizona Drivers license, proof of current insurance and willingness to use personal vehicle.
- Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years.
- Interest and commitment to helping members in crisis from varied social economic backgrounds
- Bilingual skills a plus.
- Knowledge of principles and processes for providing excellent customer service.
- Understanding of Intake and Financial Eligibility paperwork, and Arizona Department of Behavioral Health and payor/ Intake policies and procedures.
- Familiarity with a variety of computer software used for researching, tracking, data entry/processing, and reporting information, i.e. AHCCCS, Excel, Word, and various statistical or graphics programs.
- Diagnosis or clinical documentation knowledge
- Knowledge of medical records standards and current statutes pertaining to member medical records.
- Knowledge of benefits eligibility standards and processes.
- Knowledge of administrative/clerical procedures and office equipment.
- Ability to assess and resolve complex aspects of members.
- Ability to evaluate facts or situations to determine appropriate action.
- Ability to follow written and oral instructions, and to communicate effectively both orally and in writing.
- Ability to establish and maintain effective working relationships with staff, providers, members, funding sources and other agencies.
- Ability to maintain confidentiality and comply with HIPAA standards.
- Familiarity with various diverse ethnic and cultural groups.
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Re-Engagement Specialist - Tucson, United States - CODAC Health
Description
Job DetailsJob Location
Country Club - Tucson, AZ
Position Type
Full Time
Job Category
Nonprofit - Social Services
Description
Summary
Assists staff with all aspects of re-engagement and outreach to members without contact within CODAC and funder database system. Outreach staff demonstrate excellent motivational, clinical and customer service skills.
Essential Duties and Responsibilities
Education: