Benefits Assistant Jobs (NOW HIRING)

Description

Adoray continues to grow and has a new opportunity for you to join our Enrollment Team as an Enrollment Assistant.  

The Enrollment Assistant main responsibility is managing the failed faxes, mailing out medication lists to enrolled home health patients, entering medication lists for home health coordinator, assisting the Enrollment Team in processing incoming referrals, and providing backup administrative assistance to other Enrollment Team members as needed.  This is a .5 hourly (20 hours per week) position.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Primary:

Thoroughly documents all enrollment coordination activities. 

Scans the following documents into the EMR upon receipt: new admission documents; external medical records; service agreements; signed POC; insurance authorizations; signed orders; discharge letters and miscellaneous documents. 

Manages Document Tracking (Doc Tracking): Sends/faxes documentation for physicians to sign for services, tracks return status, calls on missing signature for HOS/HH/PAL (POCs & VOs, CTIs, etc.)

Monitors Document Fax History to ensure all outgoing faxes were successfully transmitted, resends any failed faxes (including missed visits)

Enters HH medication lists into Matrix for new admissions. 

Print/mail medication profiles to newly admitted HH patients.

Assist clinicians who need forms sent to facilities daily.

Apart of the Adoray Office phone rotation

Secondary:

Supports the Enrollment Team with processing new referrals for all service lines: Enters the required fields in Referral Central to create a new chart for incoming referrals, screening service location and insurance, and rejecting referrals that are out of service area and/or Adoray is not in network for their insurance. Notifies team of new referrals.

Works with referral source to obtain missing required initial data/documentation needed to process new referrals. 

Works directly with referral sources to decline referrals. 

Prepares, submits, and requests internal record requests 

Adds new vendors, MDs, and facilities to the EMR as needed. 

Backup to the Enrollment Assistants as needed with data entry of new patient information and creating new patient charts in EMR system 

Responsible for accurately verifying insurance eligibility and creating service agreements for new referrals.

Determines if prior authorization is required and notifies coordinator on template. 

Sends records to facilities when there is a hospice LOC change. 

Other duties as assigned.

Requirements

 QUALIFICATIONS

Adoray expects employees to understand and to incorporate the values of our organization in their day-to-day practice. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Qualifications

Graduate of two-year business school with a health care emphasis or equivalent preferred.

Two years' experience in health care medical records preferred.

Familiar with medical terminology.

Knowledge, Skills, and Abilities

Demonstrates a working knowledge of and follows the established policies, procedures and guidelines of Adoray Home Health and Hospice.

Display and promote high standards of ethical conduct and behaviors consistent with organizational standards.

Helps the team to develop and grow; listens, motivates, and participates in team efforts, actively works to generate respect and enthusiasm, cooperates with others through sharing duties, is perceived as a supporter and promoter of intra-team and inter-team relationships.

Is perceived as available and responsive to team members, seeks ways to improve individual contributions, and increase the level of responsibility of self and others.

Exhibit excellent communication and organizational skills.

Ability to convey information clearly and effectively to individuals or groups, including ability to choose the appropriate method or methods of communication.

Working knowledge of Microsoft Office (Excel, Word, PowerPoint, Outlook).

Ability to manage conflicting priorities and handle multiple tasks/projects concurrently.

Ability to consistently carry out job responsibilities, able to acknowledge when commitments are not met, and take appropriate steps to fulfill responsibility.

Ability to analyze, identify, and solve problems while using sound judgment.

Requirements:  Light work:  Job involves sitting most of the time; walking, lifting, bending, standing etc. are occasionally required.

Special Requirements:  Talk or Hear

Work Environment:  

  Work is normally performed in a typical interior/office environment that requires normal safety precautions (such as in typical office or administrative work). 

  Moderate noise (examples:  office with computers and printers, light traffic)