Job Description

Supports company operations by following company policies and procedures. Responsible for performing a variety of duties. This position requires an individual to be multi-tasked, have computer and general office technology skills, great communication skills, and be efficient. The Enrollment Coordinator will help bring in additional business for the company by identifying, developing, and maintaining referral sources and potential clients. Ensures smooth operation of the organization, its core values and mission by being a friendly, welcoming ambassador to the organization’s clients, staff, and visitors.

COMPETENCIES

• Excellent Verbal and Written Communication Skills
• Strong Interpersonal Skills
• Detail Oriented
• Customer Service Focused
• Growth Minded
• Ethical Practice
• Resourceful and results driven
• Critical Evaluation
• Team oriented

MAJOR DUTIES AND RESPONSIBILITIES

Client Engagement

• Builds and maintains strong, effective relationships with potential clients
• Creates and manages a network and pipeline of prospective referral sources and partnerships
• Fosters new contacts and generates new leads
• Provides effective communication to patient/family, team members, and other health care professionals
• Handles all calls and visitors in a friendly, professional, and welcoming manner
• Communicates with clients and coordinates and conducts Initial Consultations
• Answers all potential client (referral) calls and provides follow up as needed
• Develops and implements a plan to increase visibility and promote ABA Therapy and additional services to potential clients
• Confirms authorization approvals and schedule of services with new clients
• Maintains/organizes client Intake documentation.

Insurance

• Tracks and compiles clinical information for insurance authorizations and reauthorizations as needed
• Tracks client intake status on health management system
• Works with Intake team on annual insurance change procedures
• Completes verification of benefits as required
• Facilitates insurance authorization live reviews with clinical team
• Communicates with payor representatives to foster partnership and collaboration
• Verify insurance coverage and benefits for incoming clients, ensuring all necessary information is collected and accurately recorded
• Communicate client and insurance information to the clinical team, ensuring alignment on service delivery and client needs.

Insurance Credentialing

• Oversee and manage the credentialing and re-credentialing process for all healthcare providers.
• Ensure timely submission of applications and supporting documents to insurance companies and other credentialing entities
• Track and follow up on the status of all submitted applications, ensuring that deadlines are met and issues are promptly addressed.
• Maintain accurate and up-to-date records of all credentialing and re-credentialing activities.
• Ensure compliance with all regulatory and accreditation requirements.
• Develop and maintain a comprehensive database of credentialing documents, contracts, and correspondence.
• Act as the primary point of contact for healthcare providers regarding credentialing matters.
• Provide guidance and support to providers throughout the credentialing process.
• Communicate effectively with providers to gather necessary documentation and information.
• Collaborate with insurance representatives to resolve any issues related to provider credentialing

Team Collaboration

• Coordinates with Intake and Clinical Team to ensure accuracy of clinical information prior to submitting to insurance company
• Partners with clients and staff for proper scheduling and services
• Collaborates with scheduling team and operations to coordinate new client schedule and start dates
• Act as a liaison between clients, insurance providers, and internal teams, ensuring clear and effective communication

Community Engagement

• Serves as company ambassador representing the company mission, vision and culture
• Communicates with related service professionals to request diagnostic information
• Represents the organization through participation in community events

Other

• General office tasks i.e., filing, scanning, organizing
• Performs other duties as required

ORGANIZATIONAL RELATIONSHIPS

Reports directly to the Director of Admissions

SUPERVISORY RESPONSIBILITIES

N/A

WORK ENVIRONMENT

This job operates in a professional office environment. This role routinely uses standard office equipment.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to type, handle objects, tools or controls; reach with hands and arms; climb stairs; talk or hear.

POSITION TYPE/EXPECTED HOURS OF WORK

This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5:30 p.m.

TRAVEL

Travel (if any) is minimal and primarily local during the business day.

PREFERRED EDUCATION AND EXPERIENCE

• 2-to-4-year degree in business/healthcare administration and/or equivalent experience
• Experience in medical/behavioral/mental health/therapy related organization
• 2+ years of experience with direct customer engagement, focused on growth and retention
• Experience in an environment with a strong customer service focus
• Commercial and Medicaid authorization experience

ADDITIONAL ELIGIBILITY REQUIREMENTS

• Professional, energetic, and positive attitude
• Excellent customer service skills
• Excellent verbal and written communication skills necessary to explain complex and/or confidential information
• Able to maintain high level of confidentiality
• Strong administrative, organizational and problem-solving skills
• Developing standards, promoting process improvement, reporting skills
• Analytical skills
• Self-starter
• Proficient in Microsoft Office

CLASSIFICATION

Exempt