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Company: BrightSpring Health Services
Location: San Marcos
Posted on: May 23, 2023

Job Description:

Our Company
Equus Job Corps
ADMISSIONS DISABILITY SPECIALIST - Are you the super-star multitasker type, strong in administration skills? Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Read below for information on this opportunity and apply today!
Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them. Initial point of contact for referrals: gathers relevant data, identifies clinical needs, and completes Referral Intake Sheet. Communicates with Admissions Manager or PM/DCM to determine appropriateness of referral. Verifies benefits and discusses any potential issues with Admissions Manager and/or Program Manager (PM) or Director of Clinical Management (DCM.) Staffs cases with appropriate team members, with input from Admissions Manager and/or PM/DCM as needed. Works closely with Admissions Manager/Pre-Admission Screeners to set up Pre-Admission Screen and initiates contact with funding source to begin authorization process. Keeps referral sources updated with status of staffing and authorizations, as appropriate. Works closely with Admissions Manager to prioritize referrals and pending admissions for timely processing and follow up. Once PAS is complete, distributes to payer and any other required parties for authorization purposes and follows up as needed to ensure timely review and processing of authorizations. Obtains initial authorizations for services with assistance of Admissions Manager, as needed. Completes insurance verification forms with this information; generates and sends authorization confirmation letters to funding sources. Follows up, as needed, with all involved parties (both internal and external) to assure adequate communication of clinical information and financial status, and well as pending authorizations and start of care dates. Completes all startup paperwork and distributes accordingly, including preparation of clinical packets for team. Obtains therapists treatment schedules and schedules initial team teleconference. Coordinates case openings with Clinical Coordinators (CCs), including identifying missing information or clarification needs for CC to address at case opening. Ensures physician orders are obtained prior to start of services. Maintains referral log. Maintains contract binders. Works in conjunction with PM/DCM to maintain weekly staffing logs, monitor therapists availability/vacations and identify current staffing trends and needs for recruitment purposes. Assists with miscellaneous office tasks as needed including answering phones, maintaining forms files, creation of Home Binders, and other projects as identified by ED/PM/DCM. Adheres to and participates in Companys mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs / practices. Performs other duties as assigned in response to the person receiving services, office and/or program needs. Performs other duties as assigned.
Minimum of Associates degree in business or health care related field preferred. Related admissions and medical insurance work experience will be considered in place of degree Broad knowledge of medical terminology Proficient data entry and computer skills including Microsoft Word and Excel Strong organization skills and attention to detail Able to function in position with minimal supervision Effective and professional interpersonal, verbal, and written communication skills
About our Line of Business
Equus Job CorpsWorkforce solutions has a deep-rooted history in the federally funded Job Corps program. Young adults ages 16-24 receive job training, academic instruction and important life skills through our Job Corps Center operations that prepare and connect them to a career pathway that is in demand and provides opportunities for advancement. Each Job Corps location is unique, but they all benefit from our Service Delivery Model which includes: innovative training and technology, exceptional customer experiences, superior safety and quality assurance systems, extensive community participation, results-driven performance management, unmatched organizational capacity, and unrivaled subject matter expertise. For more information, visit
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ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, drivers license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at .
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ID 2023-101286
Line of Business Equus Job Corps
Position Type Full-Time

Keywords: BrightSpring Health Services, San Marcos , ADMISSIONS DISABILITY SPECIALIST, Other , San Marcos, Texas

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