Member Services Specialist

1 month ago

Phoenix, United States Touchstone Health Services Full time
Job DescriptionJob Description

Are you looking for meaningful clinical supervision hours for licensure?

Are you looking for a flexible work environment?

Are you looking to work with an innovative and collaborative team?

  • Answers and directs all incoming calls and greets and directs all guests and staff.
  • Physician support to include: schedule and confirm appointments, taking vitals, follow up on after-hours tasks.
  • Completes admissions process for new consumers
  • Assists with transportation arrangements for consumers.
  • Serve as lead and champion for claim Clearing House (SPSI) to best utilize system capabilities in analyzing and tracking claim submission and adjudication status.
  • Establishes strong relationship with major funder claim operations department and serve as lead to resolve any dispute or complex issues.
  • Understands and is familiar with basic behavioral health clinical terminology and outpatient billing codes, as well as funder billing matrix to ensure billing accuracy.
  • Supports and complies with all company policies and procedures and complies with Medicaid regulations.
  • Assist in the identification, analysis, and resolution of reimbursement, compliance and internal audit issues related to revenue cycle and data validation in a timely manner.
  • Processes requests for transfers in or out of agencies.

Requirements

  • Must have a High School Diploma or equivalence; and at least 1 year administrative/clerical telephone/switchboard experience
  • Prefer typing speed of at least 50 wpm and use 10-key by touch.
  • Must be proficient with MS Office products.
  • Must be at least 21 years of age
  • Must possess a valid AZ Drivers License
  • Must possess an AZ Fingerprint Clearance Card

 

Company DescriptionTouchstone has been an integral part of the community since its creation in 1968, serving families across Maricopa and Pima Counties with over 15 programs encompassing a variety of behavioral/therapeutic practices. As a Joint Commission Accredited organization, Touchstone provides quality care and support services to our service members.

Touchstone Health Services
Touchstone partners with individuals, families, schools and other service providers to deliver the optimal continuum of health, education and social services, with an emphasis on services that support individuals and families to acquire the skills to live productive and responsible lives. Touchstone focuses on evidence-based programs or best practice approaches to help youth and their families find strategies to reach their behavioral health goals. Touchstone believes in approaching members through a trauma informed lens with an emphasis on building resilience and creating sustainability for youth to maintain their successful outcomes of treatment.

Summary of Services:
•\tIn-home/in-office/virtual Outpatient Treatment
•\tHigh-needs/Targeted/Universal Case Management
•\tSchool Based Services
•\tInfant and Early Childhood Team
•\tMultisystemic Therapy & MST for Problem Sexual Behaviors
•\tAutism Center of Excellence
•\tTherapeutic Groups/Parent Training
•\tIntensive Outpatient Program
•\tRespite
•\tWhatever It Takes
•\tPrevention ServicesCompany DescriptionTouchstone has been an integral part of the community since its creation in 1968, serving families across Maricopa and Pima Counties with over 15 programs encompassing a variety of behavioral/therapeutic practices. As a Joint Commission Accredited organization, Touchstone provides quality care and support services to our service members. \r
\r
Touchstone Health Services \r
Touchstone partners with individuals, families, schools and other service providers to deliver the optimal continuum of health, education and social services, with an emphasis on services that support individuals and families to acquire the skills to live productive and responsible lives. Touchstone focuses on evidence-based programs or best practice approaches to help youth and their families find strategies to reach their behavioral health goals. Touchstone believes in approaching members through a trauma informed lens with an emphasis on building resilience and creating sustainability for youth to maintain their successful outcomes of treatment. \r
\r
Summary of Services:\r
•\tIn-home/in-office/virtual Outpatient Treatment\r
•\tHigh-needs/Targeted/Universal Case Management\r
•\tSchool Based Services\r
•\tInfant and Early Childhood Team\r
•\tMultisystemic Therapy & MST for Problem Sexual Behaviors\r
•\tAutism Center of Excellence\r
•\tTherapeutic Groups/Parent Training\r
•\tIntensive Outpatient Program\r
•\tRespite\r
•\tWhatever It Takes\r
•\tPrevention Services

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