Catholic Charities Community Services of New York Client Benefits Advocate in Monticello, New York
Client Benefits Advocate
Client Benefits Advocate
Location: Monticello, NY
FLSA Status: Full Time, Exempt
Department: CCCS of Orange and Sullivan Counties Office: Outpatient – Monticello
Reports to: Director of Clinical services and Operational Controller
Supervisory Responsibilities: No
Summary: Responsible for billing of treatment service for Outpatient and Inpatient Services. This includes Medicaid, Third Party Insurance, Self-Pay, Lab, and Pharmacy.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Obtain insurance verification, authorization and continuation of coverage for clients.
Complete financial assessments with clients in crisis to determine if assistance is needed in obtaining benefits.
Assist clients with obtaining benefits/assistance from all programs for which they may be eligible. These programs include, but are not limited to: TANF/SNA/SNAP/SSA/SDI/DSS/Medicaid.
Work with clients to understand their financial responsibility related to their treatment including fee arrangements and payment plans.
Create initial billing information in the Electronic Health Record, and maintain and update client records in Electronic Health Record.
Cross train with other Client Benefit Advocates and Administrative Assistants, and be available to cover both days and evenings when necessary.
Be available to assist with the caseload of other Client Benefit Advocates, and cover when necessary.
Work collaboratively with all Directors, Counselors and Case Managers with providing client healthcare and financial information.
Assist client in system navigation and obtaining needed documentation.
Assist with maintenance of OASAS data systems.
Attend movement meetings and provide information to clinical staff as necessary.
Work collaboratively with the Fiscal and Billing departments to review and evaluate documentation, to ensure that all treatment is appropriately evaluated and billed, and appropriate follow-up is done to see all claims through to completion.
Monitor client benefit status, report changes to Fiscal Department and Treatment Team, assist clients with recertification process.
Work collaboratively with the Compliance Officer to maintain client privacy, and report all violations accordingly.
Work with Fiscal Department and Treatment Team to facilitate client banking activities, distribute weekly cash stipends and collect housing program rents.
Attend workshops and trainings as indicated or requested.
Remain current and assure compliance with all rules and regulations pertinent to Financial Services (including but not limited to Medicaid/Insurance/Medicaid Managed Care), Confidentiality (SA/AIDS/HIPPA/42CFR), and requirements of OASAS, Social Services and Social Security.
Perform Additional duties as assigned by Director of Clinical Services or Financial Department.
Position Type and Expected Hours of Work:
This is a full-time position.
Working conditions and physical demands required:
The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Potential for unpredictable clients or clients under stressful situations that require consistent support.
Enter and exit buildings to outdoors on a daily basis to gain entry to other buildings.
Education and/or experience required:
- HS Diploma or equivalent diploma.
Skills, Licenses, and/or competencies required:
Must be knowledgeable of medical terminology, Medicaid billing, and insurance verification/authorization procedures.
Working knowledge of MS Office, including Word, Excel, Powerpoint and WordPerfect.