- Develop good knowledge of the MassHealth AFC Program.
- Process all incoming AFC program referrals, and enter the demographics into Zuke, if there seems to be eligibility.
- Understand MassHealth Fee For Service
- Understand SCO and One Care Plans, including PACE or CCM
- Confirm all referrals directly with the AFC Member, and confirm there is an AFC Caregiver, if available.
- Date record AFC member and AFC Caregiver documents in Zuke and forward to Laserfiche for filing. Record in Zuke as topic Administration in AFC member record.
- Process all incoming AFC faxes, emails and correspondence, and process accordingly.
- Log in Zuke the Prior Authorization dates, and send to folder for Laser fiche filing. Track LTSS process and Prior Authorization workflows in Zuke and LTSS Portal, accordingly
- Support AFC staff to insure AFC member and AFC Caregiver information is correctly entered and filed in Zuke, and Laserfiche.
- Collect AFC Caregiver logs as priority according to AFC Stipend Payment Schedule. Once Logs are entered, work with AFC Program Manager to approve billing.
- Assist with response to any questions relating to Zuke data and billing.
- Review, quality check, and process mileage/expenses for AFC staff.
- Assist Program Supervisor and Manager with annual, admission, discharge, or other types of surveys.
- Track AFC Caregiver qualifications and assist with staying ahead of due dates and any annual, quarterly, semi annual deadlines.
- Send out and assist in processing Primary and Alternate Caregiver documents, and update Zuke accordingly. Maintain AFC Caregiver dates in Zuke, and send those dated documents to Laserfiche for filing.
- Provide positive phone customer service for all those inquiring about Tempus Unlimited AFC program or any other programs.
- Fax PCP or any other relevant documents for review and/or signature.
- Maintain Zuke records by recording all transactions, and sending those dated documents for Laserfiche filing.
- Assist with processing all AFC program terminations and verify case and Zuke closure
- Process no contact letters should Care Manager and/or RN have difficulty reaching the consumer.
- Assist with processing termination, caregiver payment letters and other correspondence as needed
- Participate in weekly AFC meetings and offer input to maximize program efficiencies
- Additional assignments as needed
- Experience with administrative duties and billing
- Ability to work with numbers and balance documents against authorized services
- Strong communication skills
- Ability to maintain and keep current program databases and electronic record filing
- Ability and willingness to learn from experience, and informal/formal instruction
- Ability to effectively prioritize tasks
- Follow policies and procedures in place
- Attend meetings and training as assigned
- Must be reliable
- Minimum education requirement of a High School Diploma, General Education Development (GED), or High School Equivalency Test (HiSet)
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
- Must be able to lift 25 pounds
- While performing the duties of this job, the employee is regularly required to talk and/or hear. The employee is frequently required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
- Travel is not required for this position.
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Adult Foster Care Intake Coordinator - Stoughton, United States - Tempus Unlimited Inc.
Description
:The AFC Intake Coordinator will provide great customer service to all those inquiring and applying for Tempus Unlimited Adult Foster Care Program. This role will perform quality data entry of key events and actions. This role will insure swift administrative processes, to maximize all community access to the AFC program by AFC members and AFC Caregivers. This role will support all administrative aspects of the AFC program. The role will at times, interact with other departments to ensure the best referral and/or intake experience for the caller.
Essential Functions
Competencies
Required Education
Work Environment
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Travel
Work Authorization/Security Clearance
All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.
EEO Statement
Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Other Duties
Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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