Insurance Specialist Coordinator

Ensure the highest level of service to all Representative Payee (Rep Payee) consumers, consistent to the overall purpose of the company and the Social Security Administration. To comply with company code of ethics, confidentiality practices, HIPAA, safety and all other policies and procedures.

Essential Duties & Responsibilities:

• Provides the linkage and coordination of care for individuals we serve thru Social Security Administration, Ohana (CCS), CMHC and POS providers.
• Tracks and maintains consumer enrollment and eligibility with Medicare, Medicaid and other medical insurance plans. Verifies consumer's insurance coverage/lapse and assists with re-enrolling for all options to access to medical coverage and changes in plans. Follows up on insurance denials and assisting with the application process for best plans for consumers. Assists and coordinates with Rep Payee staff with low-income insurance assistance to help with out-of-pocket costs for consumers.
• Assists the Representative Payee Supervisor with billing discrepancies (current and non-current) with the Department of Health, Ohana (CCS) or other contract providers.
• Assist completion of reports requested by Social Security Administration, and/or Representative Payee Supervisor.
• Maintains electronic clinical Master Registry and organizational filing systems, client documentation(s) report(s) and memos to include updating of consents to meet HIPAA compliance and agency quality assurance are met. Sorts, organizes, and files client chart in a timely manner and with accuracy.
• Provides linkage for consumers to gain access to case management services. Reestablish and coordinate service for consumers to meet or follow up with appointments and or appointment rescheduling.
• Assist in developing and maintains a current Rep Payee Program Manual
• Assist in developing and implementing written procedures (including forms and training) to increase operational efficiency.
• Obtains required documents for consumer charts to meet QM chart reviews.
• Performs basic administrative duties, including, but not limited to, making copies, faxing documents to various agencies, and processing incoming and outgoing mail.
• Responsible for the collection of programs specific outcomes criteria including, but limited to, budgets, quality control and changes in status related to SSA/SSI.
• Maintains electronic supply inventory for Rep Payee program. Orders, tracks and receives all merchandise supplies and compares with purchase orders. Follows up with missing and backlog of supply order requests.
• Assist in development of the Financial Skill Building classes and develops guidelines and course materials for consumers and agencies. Conducts training and course curriculum to meet compliance and requirements in the developing of on-going training and money management skill building. Conducts research and training ideas and development for best practices on money management and financial skill building for program and consumers.
• Provides coordination of consumers, their families, and mental health professionals regarding financial skill building including, but not limited to, budgeting, vendor payments, discrepancies, and status changes.
• Provides money management services, budgeting support and education that shall include but not limited to; payment of rent, utilities, transportation, food and clothing on a daily, weekly or monthly basis or as needed.
• Greets and announces visitors to include answering of incoming phone lines, monitoring of visitors and reports any unusual guests or situations, in a timely manner. Ensures that all visitors sign in and out and are met at the reception area. Coordinates and conduct intakes with new referrals and current consumers, agencies, family members, etc. to meet program compliance and requirements. Provides resources and service-related care, preparation and assistance in compliance with state and federal laws and Rep Payee program needs.

Qualifications:

• High School Diploma. Associate Degree preferred
• 1½ yrs of experience working in the human services field
• 1½ yrs of accounting or bookkeeping experience
• Ability to type 50 wpm and ability to use 10-key by touch.
• Working knowledge of Windows computer programs including database programs such as Excel
• Ability to work under pressure and with a variety of people.
• Attention to detail and accuracy.
• Valid Driver's license, clean traffic abstract, and willingness to use a properly insured vehicle
• TB clearance, First Aid/CPR/CPI certified

Salary : $45,000 - $47,900