Admission Clerk and Grant Case Manager - Marshalltown, Iowa, , United States
1 day ago
Job description
TASKS AND RESPONSIBILITIES
- Treat all individuals with dignity and respect while maintaining agency standards of confidentiality, professionalism, and objectivity.
- Assist in gathering third-party payor information and obtain all necessary releases for billing and payment collection.
- Conduct admissions for Residential, Outpatient, and prescribing patients using integrated resources.
- Communicate with third-party payors regarding services received by covered individuals (oral and written).
- Monitor third-party payor pre-certifications and notify counselors of upcoming reviews.
- Provide financial evaluations to patients and establish sliding fee scales during placement screenings and update annually.
- Receive and record patient payments; issue receipts and secure funds appropriately until deposit.
- Participate in patient scheduling with other staff members.
- Respond to questions from patients or interested parties regarding service charges.
- Complete reviews of admission and financial paperwork at each level-of-care change and discharge.
- Provide data entry support, including for the Department of Transportation and internal patient data systems like Cerner.
- Monitor file compliance and assist clinicians with data retrieval and completion.
- Provide appointment scheduling support for mental health, substance abuse, and physical healthcare services.
- Ensure patients have access to transportation for appointments; transport patients directly as needed.
- Participate in hospital discharge processes and coordinate with providers and families.
- Work closely with hospital emergency departments to ensure care continuity.
- Assist patients with obtaining medications and promoting medication adherence.
- Coordinate services with community resources and agencies.
- Advocate for patients, particularly those vulnerable or requiring extra support.
- Connect patients to recovery supports and long-term services when available.
- Complete and submit all required documentation, including grant-related records (e.g., GPRA forms).
- Ensure releases of information and other required documents are accurately completed and filed.
- Assist with Quality Improvement efforts.
- Maintain HIPAA, 42 CFR, CARF, and other confidentiality and regulatory standards.
- Answer the phone as a backup to Support Staff.
- Communicate with staff to address billing discrepancies.
- Perform all other duties as assigned by the Office Manager, Service Navigator Lead, or designee.
QUALIFICATIONS / SKILLS / KNOWLEDGE
- Understanding and support of Prairie Ridge's mission and patients served.
- Minimum of two years of experience in a medical office OR a Bachelor's degree in a human services field OR three years of relevant experience with multi-occurring disorders.
- Proficiency in oral and written communication, typing, filing, and general office operations.
- Competence in managing electronic data collection and electronic health records.
- Ability to engage with patients and the public in a warm, supportive manner.
- Must be able to travel as needed.
- Physical Requirements:
- Frequently required to sit, use hands, talk, or hear.
- May be required to walk, stoop, kneel, crouch, crawl, stand, climb, or balance.
- Must occasionally lift/move up to 35 pounds.
- Must have close, distance, color vision and the ability to adjust focus.
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