Client Benefits Navigator

Description

WORK DESCRIPTION:

Verification of eligibility for all patients presenting for services at Haymarket Center and identifying funding sources for uninsured clients or out of network.

ESSENTIAL FUNCTIONS:

• Notify Haymarket Managed Care Department after contacting the Managed Care Organization to obtain notification/preauthorization for services.
• Works with Central Intake to ensure up-to-date knowledge of empty beds throughout treatment programs at Haymarket.
• Follow up with treatment units to ensure LCD's are being managed.
• Complete an application for benefits on ALL unfunded patients admitted to the facility.
• Follow all applications and coordinate outcomes with patient, Client Benefits and unit.
• Notification of patient admission to managed care companies.
• Faxing and tracking patient admission information and requests for additional days to designated MCO's.
• Document in the system, NextGen, updates about outcomes of application.
• Tracking numbers and outcomes of benefit applications.
• Conduct reminder calls about appointments.
• Call hospitals and other facilities letting them know open beds.
• Maintain all benefit stats.

Requirements

• High School Diploma or equivalent
• Must be familiar with all Haymarket Center clinical programs
• Welcoming, friendly, patient and kind
• Organized multi-tasker and detail-oriented
• Must be able to work flexible hours, days and cover extra shifts if needed
• Must work well as part of a team