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Client Intake Coordinator

2 months ago

Milwaukee, Wisconsin, United States Wellpoint Care Network Full time
Job Overview

At Wellpoint Care Network, we are dedicated to promoting equity, learning, healing, and wellness by fostering connections that empower children and families to thrive.

Every individual deserves the chance to achieve their utmost potential. It is a fundamental aspect of human nature and the promise of our society that everyone should be afforded a fair opportunity to excel. However, many within our community grapple with unresolved childhood and generational trauma.

Our mission is to pave the way for children and families to realize their fullest potential. With nearly 175 years of experience, Wellpoint Care Network has been a steadfast advocate for family restoration.

Position Purpose:

The Intake Specialist – Billing will oversee the client registration and intake processes. This includes collecting and entering demographic data, dispatching requests for client information and consents via EHR and/or Adobe Pro DC, and confirming insurance eligibility, benefits, and network status for clients in an outpatient clinic environment. Additionally, this role entails submitting prior authorizations and addressing any eligibility or billing concerns for existing clients.

Qualifications:

  • Bachelor's degree in healthcare, business, or a related field is required.
  • Master's degree in healthcare, business, or a related field is preferred.
  • A minimum of 3 years of experience with electronic health record (EHR) systems and data entry is required.
  • At least 3 years of experience in a medical/mental health office, with a solid understanding of Medicaid, Medicare, and Commercial health plans, is essential.
  • Proficiency in the International Classification of Diseases (ICD-9-CM, ICD-10-CM) and current Procedural Terminology (CPT-4) coding is necessary.
  • Exceptional customer service skills and a commitment to client satisfaction.
  • Strong verbal and written communication skills, including business writing proficiency.
  • Ability to manage and complete projects within designated timelines.
  • Excellent problem-solving and decision-making abilities.
  • Commitment to confidentiality and adherence to all HIPAA regulations.
  • Capability to create, modify, and manage various document types, including fillable forms.
  • Experience with office equipment and software, including Microsoft Office Suite.
  • Valid Wisconsin Driver's License or occupational driver's license, reliable transportation, and insurance are required.
  • Demonstrated cultural humility and respect for individuals from diverse backgrounds.
  • Physical examination, drug screening, motor vehicle report, and background checks are mandatory for this position.

Key Responsibilities:

Intake and Insurance Management

  • Track, maintain, and secure referrals while gathering necessary information for acceptance.
  • Schedule new client appointments and arrange transportation as needed.
  • Conduct registration tasks, including obtaining, entering, and updating demographic information, and verifying insurance eligibility and benefits.
  • Ensure accurate client data entry and upload essential insurance and referral documents into electronic health records.
  • Monitor Medication Management intakes, insurance coverage, and appointment requests.
  • Complete client risk assessments and crisis triage for new referrals, providing immediate support resources.
  • Manage client information tracking using Clinic Caseload Excel spreadsheets.

Billing and Payment Processing

  • Utilize payer eligibility websites to confirm client insurance coverage and update EHR with changes.
  • Communicate with clients to gather additional insurance information and resolve billing issues.
  • Update insurance and financial responsibility data as necessary.
  • Apply knowledge of CPT and ICD-10 codes in accounts receivable processing.
  • Investigate and resolve EHR billing task issues through careful review.
  • Educate clients on referral and authorization requirements, as well as insurance-related changes.
  • Maintain knowledge of Medicare, Medicaid, and third-party payer requirements.

Prior Authorization Management

  • Stay informed about prior authorization requirements and submission processes.
  • Create and submit prior authorizations for various services as required.
  • Maintain a database and follow up on prior authorizations and related cases.
  • Notify therapists of due dates and serve as a resource for timely completion.

Agency Engagement

  • All employees will be evaluated on their commitment to the Agency's core values, including Diversity, Equity, and Inclusion.
  • Participate in assigned meetings and events as required.
  • Other duties as assigned, including coverage for department members.

Position Details:

  • Full-time position.
  • Quantitative skills are necessary for basic calculations.
  • Hybrid on-site/remote work options are available.
  • Flexible work schedule, including evenings and weekends as needed.
  • Moderate noise exposure is expected.
  • Ability to manage multiple tasks simultaneously is essential.
  • Understanding of cultural differences and adapting services accordingly is required.

Organizational Overview:

At Wellpoint Care Network, we recognize the profound impact of trauma, poverty, systemic racism, and social injustices on individuals' lives. Our commitment is to address these challenges through a comprehensive continuum of services designed to support those in need.

We provide a range of services, including:

  • Child Welfare and Foster Care
  • Support for youth transitioning out of care
  • Care Coordination and Wraparound services
  • Mental health therapy and support services
  • Professional education and clinical consultation

Wellpoint Care Network is dedicated to fostering a diverse and inclusive environment, ensuring that all individuals we serve and employ are valued and respected.

We invite interested candidates to apply online. We are committed to enhancing diversity, equity, and inclusion within our workforce.

*To protect the health and well-being of our employees and clients, Wellpoint mandates COVID vaccination for all employees or an approved exemption.*

Equal Opportunity Employer