Claims Intake Coordinator Jobs (NOW HIRING)

Company Summary

If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AdCare Hospital American Addiction Centers, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.

Job Summary

Intake Admissions Coordinator will assist patients and/or referral sources in making arrangements for timely access to appropriate treatment services. Conduct pre-admission screening interviews, recording intake and insurance information ensuring that sufficient data is collected so that an appropriate level of care can be determined.

Duties and Responsibilities: 

• Warmly welcomes clients and their family members to facility and explains the Intake process. Answers questions about treatment, and seeks supervision, when unable to answer questions. Establishes a positive rapport with both clients and their families.
• Treats clients/families/ and other staff with respect and dignity at all times. Understands that addiction is a disease, causing clients and their family members to behave disrespectfully at times. Detaches and doesn’t take disrespectful/rude behavior personally.
• Explains all levels of care offered in a concise and understandable manner to potential clients/family members/ Call Center or to managed care companies.
• Screens and assesses for exclusionary criteria, such as active psychosis/ active suicidal or homicidally.
• Calls Charge Nurse immediately to assess serious medical conditions. Follows all orders by Medical Staff.
• Documents Intake information concisely and accurately in all systems, such as: Salesforce and Aura, prior to leaving shift.
• Alerts Clinical Managers about referral sources, which require follow-up, such as: EAP/First Responder/ Probation.
• Demonstrates professionalism, even in the face of stressful situations, while carrying out all Intake duties.
• Intakes may be scheduled at the last minute, so flexibility is necessary with work schedules. As much notice as possible will be provided for changes in work schedules.
• Follow all procedures regarding clients’ valuables and money. Required documentation must be submitted prior to leaving shift. In addition, clients’ valuables and money must be dropped in Intake Safe, prior to leaving shift.
• Ensures  insurance company representative understands information being requested and quotes accordingly: level of care requested, difference between in-network and out-of-network benefits requests, lifetime limits, calendar year dollar maxes, calendar year day/visit maxes, percentage of plan coverage, plan status, plan deductible, plan out-of-pocket, trade-off ratios, pre-existing applicable, benefit separation or combinations (ETOH, SA and MH), pre-cert requirements, penalties and company, claims address, freestanding coverage, out-of-area allowed, plan’s associated Rx vendor.
• Documents insurance representatives’ name, date & time of call in Salesforce.
• Completes verification of benefits accordingly with information requested by insurance company representative.
• Exercises professionalism during the verification process especially when quotes provided seem incorrect. Asks for clarification and to speak with the representative’s supervisor, if necessary.
• Documents all insurance plan benefit summary information in Salesforce.
• Handles all responsibilities assigned in a professional manner and reports any problems/delays regarding workload or staff coverage to direct supervisor.

Education/Experience:

• Minimum of a High School Diploma or equivalent required.
• Effective interpersonal skills.
• Computer literacy required, Google office products a plus.
• Knowledge of chemical dependency and 12 step programs a must.
• Past experience in substance abuse treatment a plus.

Physical Requirements:

• Ability to sit, use hands and fingers, talk or hear, and smell continually.  Ability to stand, walk and reach frequently. Ability to climb or balance, stoop, kneel, or crouch occasionally.
• Ability to frequently lift and carry up to 10 lbs. and occasionally lift and carry up to 25 lbs.

All positions require a TST, MMR Titer, the ability to pass a pre-employment drug screening, and satisfactory criminal background records check. 

Compensation Transparency: In accordance with the Massachusetts Pay Transparency Act, the reasonable estimate of the pay range for this position $18.00 – $23.00 per hour. Actual compensation within this range will depend on the candidate’s skills, experience, education, and relevant qualifications. Generally, placement within the upper portion of the range is reserved for candidates with several years of directly related experience or exceptional expertise.

American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law. AAC is committed to principles of equal opportunities for all employees and will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.