Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!
JOB DESCRIPTION:
Enrollment Clerk
ESSENTIAL FUNCTION
To perform all client enrollment functions and collection of fees for services. Tracking of authorizations to ensure all funding source requirements are met. Perform Enrollment duties and verification of services to ensure payment.
CORE CLERICAL DUTIES:
Interview and enroll clients, secure and copy documentation to validate income, copy insurance, Medicaid, or Medicare cards. Scan documentation into chart. Complete enrollment paperwork and explain fees. Answer phones, questions & service inquires, transfer calls, take messages, and assist callers with needs in a customer friendly approach. Enter referrals; schedule, reschedule, or cancel any type of appointment. Provide for client “check-in” process, wait on clients, customers, or staff at front desk to help determine their needs and direct them where they need to go for assistance or provide the help they need, if applicable Checkout/schedule rooms, cars/keys/credit cards/ aircards, audio visual material & equipment, if applicable. Collect all client fees
ESSENTIAL DUTIES AND RESPONSIBILITIES
Provide outstanding internal and external customer service by communicating and interacting in a cordial, respectful, and professional manner. This includes, but is not limited to being prompt, pleasant, and personable, focused, responsive, appreciative, and providing assistance within scope of position. This also includes consistently returning phone calls and e-mails within 24 hours and updating voicemail/out of office e-mail, as well as consistently using pleasant tone and having a helpful attitude. The incumbent is expected to consistently meet the outstanding internal and external customer service requirements for this position.
Interview and welcome client to the agency. Based on what services the client is expecting to receive set up client master accordingly. Go over enrollment checklist information, including statement of rights, privacy practices, and client expectations. Fill out the FIF and secure documentation to validate income. Verify insurance information, determine Medicare/Medicaid eligibility and complete any enrollment requests needs on state websites. Set fees according to state or federal guidelines.
Collect private fee’s, including rendering receipts and explaining the how and why of the charge. Follow up with client concerning their unpaid private pay balances, variety of attempts need to be made with documentation to support the attempts.
Add or Update Clients Master information to reflect any changes that Client may have had with their funding. This includes authorizations changes and funding changes.
Verify all scheduled appointments daily. Verification includes funding for the clients and ensuring the authorizations are set up correctly according to the type of services the client is receiving. Check to ensure that Client Master, client status, client program, and autobill are set up correctly based on the client current level of care. This also includes verification on State and Federal websites.
Schedule Assessment/Intake Appointments, Verify private health insurance and ensure client is scheduled with the correct provider, and client is aware of what they are required to pay. For clients with no funding, explain what type of services they can receive and what the client will be responsible to pay for other services.
Prepare and take daily deposit to agency bank, including copying all checks and documentation for that day’s deposit. Apply payments against the client’s account, any funder payments will be sent to Central AR/billing office for processing. Forward all copies of checks, journals, original EOB’s deposit slips to Central AR/billing office for review and submission to accounting. Make sure the deposit balances to the journal each day.
Prepare invoice for medical records request. Track to ensure all medical records request are paid. Follow up on any outstanding invoices.
Provide estimates for BOP client’s subsistence and track payment status of subsistence.
Process client link cards. Work with clinical staff to ensure discharged clients are given back link card.
OTHER DUTIES
1. Perform filing and answer the phone.
2. Perform general office work as assigned.
3. Participate as an active member of the AR Team.
4. Complete other assignments not inconsistent with regular duties and qualifications as assigned.
ESSENTIAL KNOWLEDGE AND SKILLS REQUIRED
Knowledge of computer operation Knowledge of insurance AR/billing and diagnostically-related groups Knowledge of general office practices including typing, spelling, alphabetizing, and grammar Knowledge of telephone etiquette Knowledge of and ability to take payments for services Skills in math Skills in computer input Skills in flexibility Skills in decision-making Skills in organization and management Skills in verbal and written communication Skills in following instruction Skills in time management Skills in follow up Skills in documentation Skills in prioritization Skills multitasking
OTHER KNOWLEDGE AND SKILLS REQUIRED
Skills in memorization Skills in assertiveness Skills in stress management Skills in diplomacy Skills in authorizations
RESPONSIBILITY
Supervision: This position reports to the Accounts Receivable Department Manager. The Department Manager provides management and supervision for the program/department.
B. Guidelines: Must follow Corporation and programmatic policies and procedures. Must follow
Rules and regulations concerning confidentiality. External reporting system requirements also
provide direction.
DIFFICULTY
A. Complexity: Job consists of a variety of tasks which vary from routine to moderately complex in nature due to the job duties, type and diversity of client base, computer system and occasional unpredictability of daily events.
B. Scope and Effect: This position affects other staff, clients and the general public. There is a direct impact on funding sources because data input goes into their systems. All AR/billing functions have a direct effect on agency revenue.
PERSONAL RELATIONSHIPS & THEIR PURPOSE
Personal Contacts: Incumbent has regular contact with employees, service recipients, other human services and community agencies, insurance companies and client collaterals.
Purpose: Intra-Corporation contact is made to collect, monitor and disseminate vital service recipient AR/billing information. External contact with resources is made to exchange information related to AR/billing matters.
ENVIRONMENT
A. Physical Requirements: Work is primarily sedentary in nature.
B. Work Environment: Work is performed primarily in an office setting.
MINIMUM REQUIREMENTS
Must have a minimum of a high school diploma or G.E.D. equivalent plus one year AR/billing and record-keeping experience, data entry speed of 1000 keystrokes/5 minutes, experience working with the public. Accounting, business and/or computer courses are helpful. Incumbents must have the ability to pass all required tests and background screenings.
HBV Level: I
Level No: 6.5
DOL Status: Nonexempt
Time Type:
Full time
Pay Range:
$0.00-$0.00
Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:
Medical, dental, and vision health coverage
Flexible Spending and Health Savings Accounts
403b retirement plan with company match
Paid time off and ten paid holidays
AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
Employee Resource Groups
Continuing education opportunities
Employee Assistance Program
Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. We treat all clients and colleagues with dignity and respect.
At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our Culture.
Our approach to culture is to create an environment that encourages, supports and celebrates the voices and experiences of our employees. We are committed to a culture of empowerment, respect, integrity and expertise that powers our innovation and connects us to each other, our clients and the communities we serve.
Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.
