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Behavioral Health Managed Care Representative

WellSpan Health · York, Pennsylvania, US

Full-time, 72 hrs/2 weeks 7am-2:45pm Monday - Thursday 7am-230pm Friday General Summary Ensures initial and recurrent authorizations are present to ensure ti...

Job description

Full-time, 72 hrs/2 weeks 7am-2:45pm Monday - Thursday 7am-230pm Friday General Summary: Ensures initial and recurrent authorizations are present to ensure timely reimbursement. Assists with coordination of care and/or transfers to higher levels of care. Refers patients to appropriate resources for assistance in completion and submission of applications for public assistance or uncompensated care. Provides support to multiple provider types in behavioral health authorization process. Performs a variety of functions including, but not limited to, account follow up, answering inquiries, resolving problems and interacting with third party payers and/or patients to achieve payment of accounts in accordance with current government and payer regulations. Represents the System in a professional manner using excellent customer service practices in the performance of all duties. Duties and Responsibilities: Essential Functions: - Secures information relative to patient's financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed. - Accurately identifies behavioral health payer per medical plan. Acts a resource to p...