• Job Description

  Req#: 29305

  This position provides initial response to clients reaching out to the hospital. Conducts initial assessment of clients and schedules mental health appointments. Responds to and triages crisis calls. Registers, reviews and corrects patient registration information in the computer system. Verifies insurance coverage and eligibility on all Blue Cross HMOI members.

  PRINCIPAL DUTIES AND RESPONSIBILITIES

  1. Call Center:
     1. Answers phone inquiries to determine needs of the client.
     2. Responds to and triages crisis calls. Partners with team to respond immediately to urgent situations.
     3. Assists the client in determining what services are appropriate and if services meet the eligibility requirements per the HMOI plan.
     4. Schedules client appointments or refers client to contracted providers where appropriate.
     5. Enters data necessary for registration of client using departmental software program(s).
     6. Uses software program to assist in benefit verification, claims adjudication and other aspects of the HMOI contract support function when appropriate and needed.
     7. Assists in the communication to providers and/or clients regarding issues, such as, scheduling, releasing information, and assessment recommendations.
  2. Registration Functions:

  • Reviews various forms (i.e. Release of Information, Agreement and Authorization, etc.) with clients telephonically as necessary.

  KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  1. Required Education, Skills and/or Experience:
     • Basic computer knowledge that included Microsoft Office Suite
     • Maintain information as highly confidential
     • Ability to maintain professional boundaries and willingness to seek supervision
     • Associate’s Degree plus a minimum of three years of experience or a Bachelor's Degree.
  2. Preferred Education, Skills and/or Experience:
     • Bachelor’s Degree in a Behavioral Health related field
     • Minimum of one year of previous experience in healthcare or in a behavioral healthcare setting
     • Crisis line or crisis intervention experience
     • Substantial knowledge base of insurance plans such as Commercial, Managed Care and capitated plans, Medicare, Medicaid and Workers Compensation
  3. Required License and/or Certification:
     • CPI (Crisis Prevention Intervention) certification within 90 days of start date into position
     • Current CPR Certification issued by American Heart Association within 90 days of start date into position

  Benefits offered by Edward-Elmhurst Health include:

  • Public Service Loan Forgiveness program
  • Medical, dental, and vision
  • 401K
  • Tuition reimbursement
  • Paid time off
  • Discounted Fitness center membership
  • Plus many other Employee Perks

• About the company

  Edward Hospital & Health Services, commonly referred to as "Edward", is a major healthcare provider located in southwest suburban Naperville, DuPage County, Illinois.

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