SUMMARY Coordinates with all Red Rock sites to determine, verify and establish payer sources. Sets up All Funding Sources in the computer system, enrolls new/existing consumers in DMH eligibility as needed, verifies insurance eligibility/coverage, verifies insurance for upcoming appointments, maintains all insured financial information and assists with funding and financial related calls. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES • Responsible for the verification of insurance for all Red Rock consumers • Daily Appointment Schedule • OHCA TPL reporting • Weekly PICIS reports • Follow-up on Missing or Incomplete Consumer Information • Daily Default Monitoring • Establishes all funding sources for each Red Rock site and enters all required data into the computer while maintaining a high level of accuracy, professionalism and integrity • Documents an appropriate level of detail to maintain an accurate account of eligibility history • Coordinates with payers including, but not limited to: Medicaid, contractors, commercial insurance companies, etc. by phone, fax, email or online portal, to obtain insurance benefits and eligibility information • Communicates all necessary information to each Red Rock site as needed including insurance terminations, etc. • Identifies consumer responsibility to include any co-pay, co-insurance and outstanding deductible and notes the account accordingly • Maintains knowledge of Red Rock’s financial procedures and adheres to all financial guidelines. • Assists in educating staff in each Red Rock site regarding funding needs/changes • Attends staff meetings, workshops, and seminars to learn agency policies, rules, regulations, and procedures; participates in ongoing in-service training as well as pertinent external training • Performs other duties as required QUALIFICATIONS • One year of related healthcare experience and/or training; or equivalent combination of education and experience • High school diploma or equivalent OR • Equivalent combinations of education and experience • Ten key, computer/data entry, spreadsheets, and word processing • Ability to work independently, with diligence and accuracy • Analytical and problem-solving skills • Detail oriented, with excellent organizational skills • Excellent verbal and written communication skills • Commitment to the mission of Red Rock BHS • Preferred one year of related experience PHYSICAL REQUIREMENTS • Must have the ability to stand or sit for long periods of time • Must have the ability to lift, push, or pull a minimum of 25 pounds • Ability to travel approximately 10% of the time • Ability to use telephone, PC, fax machine, copy machine, and printer HOW WE TAKE CARE OF YOU! • We pay a generous portion of your Health Insurance • Low-cost Dental and Vision Insurance • Retirement Plan with employer contributions equal to 5% of annual salary • Student Loan Repayment Options • No Cost Employee Assistance Plan • 3 Weeks Paid Time-Off (increases annually between years 2-10) • 9 Paid Holidays • 1 Floating Holiday to use at your discretion. • 4 Rest and Relaxation Days • 3 days of Education Leave • 4 hours of Volunteer Leave • Eligible for Pay Increases and Bonuses Annually • Employer Paid Long-Term Disability and Life Insurance Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.