About the Position:
Beacon Health Options is currently seeking an Aftercare Coordinator to join our team at our Boston, MA office! This position is responsible for scheduling aftercare follow-up for members discharging from an inpatient acute mental health setting. The Aftercare Coordinator ensures that members have a scheduled appointment in place, completes follow-up and reminder call to member and follows up with providers to ensure member’s compliance with aftercare. The Aftercare Coordinator works closely with Transition of Care Clinicians, Utilization Management Clinicians, Case Management Clinicians and hospital Discharge Planners to assure compliance with HEDIS measure for follow-up after hospitalization.
Responsible for tracking daily assigned duties, case load and performance.
Complies with FUH workflow and completes all the steps in the workflow.
Interfaces with members, hospital staff, providers and provider office staff to coordinate aftercare for members. Verifies and updates eligibility information as needed.
Responsible for documenting aftercare notes in member’s file in a clear and concise manner and in the required section/module.
Initiates aftercare process at time of notification of an inpatient mental health admission
Coordinates aftercare with hospital Discharge Planner, Beacon Transition of Care Clinician, UM team and/or member’s responsible party
Schedules aftercare appointment for members prior to discharge and communicates appointment information to the hospital discharge planner, UM team and/or member’s responsible party
Responsible for mailing/faxing aftercare appointment information to members and hospital
Makes outreach call to members after discharge to review aftercare appointment and complete appointment reminder.
Encourages member to attend the scheduled aftercare appointment and provides information on importance of following up with a provider after discharge
Follows-up with providers to obtain outcome of the scheduled appointment
Responsible for outreaching to members who did not adhere to 7-day follow up appointment to offer 30-day appointment
Responsible for mailing discharge aftercare letter with list of referrals to members not reached by phone.
Responsible for tracking and collecting primary source verification for aftercare appointment when indicated.
Attends and participates in monthly staff meetings.
Trains new staff as assigned by department lead or director.
Keeps copiers, printers and fax machines cleared of any protected health information.
Documents receipt of time sensitive materials in the appropriate information system.
Participates in monitoring department office supplies and notifies department director.
Adhere to all Beacon policies and procedures and standards of operations.
Completes all required and assigned trainings on time.
Attends all mandatory company or department meetings.
Report to each scheduled shift to commence work and perform essential job functions.
Displays a professional, positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment.
Performs special projects and other duties as assigned by department lead or director.
Education: High School diploma or GED required, Associates degree or higher preferred
Relevant Work Experience: 2 years office experience required, healthcare or managed care experience preferred
Knowledge, Skills & Abilities:
Ability to maintain privacy and confidentiality in compliance with HIPAA regulations and policies
Knowledge of Medicare & Medi-Cal
Ability to deliver exceptional customer service to both internal and external customers
Ability to multitask assignments to meet multiple deadlines and performance standards
Ability to use electronic health record and electronic medical record software systems
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
At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.