Job description

$1,500 New Hire Signing Incentive

Come Build a Brighter Professional Future at Oakland Family Services!

Who We Are

Oakland Family Services offers a warm and engaging work environment that is led by our cultural values. Oakland Family Services is a private, non-profit human service organization serving the area and building brighter futures for 100 years. We offer a continuum of prevention, education and treatment services that span the human life cycle, enrich the lives of children, strengthen families, rebuild lives and builds brighter futures for those we serve and those we employ. We are a proud recipient of the Detroit Free Press Top Workplaces Award for the 9th consecutive year!

What’s In It For YOU?

Our Culture

• Cultural values that are clear and lived each day
• Peer-based staff recognition programs
• Annual staff celebration (awards and luncheon)
• Warm, supportive work environment
• Work/life balance and wellness initiatives
• Flexible work schedule/hybrid schedule where appropriate
• Clinical supervision
• Professional development to include paid trainings and leadership and succession opportunities
• Team oriented approach to work processes
• RISE – Employee Sponsored Task Force Committed to Diversity, Equity and Inclusion
• Commitment to open, honest and transparent communication
• Quarterly all staff lunch and/or meetings with the CEO
• Employee engagement initiatives (road rallies, employee appreciation events, staff recognition programs, food truck lunch-truck event, ice cream day, spirit weeks, logo wear webstore, bring your child to work day, chili cook off/bake off contests, and more)

Our Employee Benefits

• Three medical insurance plans to choose from (2 HMO’s and 1 PPO with Health Saving Account)
• Flexible Spending Accounts and HSA options*
• 403B Retirement Plan with a company match (immediate eligibility)
• Employer-paid Vision and Dental Insurance*
• Employer-paid Long-Term Disability*
• Voluntary Short-Term Disability Option*
• Generous Paid Time Off Benefits* to include vacation (10 prorated days of vacation time for new employees with increases starting after 2 years of employment) Sick (10 prorated days of paid sick leave), Personal Days (1 paid personal day off in addition to sick leave and vacation time), 11 paid bank holidays (in addition to sick leave, vacation time, and your personal day)
• Employer-paid Life Insurance and AD&D
• Employee Assistance Programs
• Verizon Cellular Plan Discount and other available discounts

*Applicable to regular, full time employees

RESPONSIBILITIES/ESSENTIAL FUNCTIONS

The Intake and Insurance Verification Specialist is responsible for acquiring and maintaining current knowledge of Agency programs, including admission and eligibility criteria; for interviewing clients and potential clients to facilitate their choice of appropriate services based on expressed need, for the admission and maintenance of all Oakland Family Services’ Behavioral Health clients by preparing case records, scheduling client appointments, monitoring insurances and fees, and providing support services to the professional operations of the Agency. The Intake and Insurance Verification Specialist works cooperatively as a team with other staff and reports to the Assistant Director of Treatment Services.

The following represents a summary of the major duties and responsibilities performed by incumbents in this position. Incumbents may be requested to perform related tasks other than those specifically presented.

SPECIFIC DUTIES/JOB EXPECTATIONS

• Accepts incoming calls from clients requesting first time appointments for outpatient treatment at all sites.
• Utilizes Qualifacts and any other technology needed to complete responsibilities.
• Obtains all demographic and insurance information for the client and/or guarantor; correctly sets-up and maintains demographic and insurance information in all systems ensuring that all information fields are completed as required.
• Determines appropriate self-pay fees for individuals seeking treatment without insurance coverage, and/or completes OCHN self-pay/underinsured information for SUD clients who identify this need at the time of initial contact.
• Schedules client with appropriate clinician based on population served (i.e., young children, geriatric clients, couples, etc.) and insurance type.
• Utilizes various insurance information verification websites (i.e., CHAMPS, Web-Denis, CSNAP, etc.) to obtain information about the client’s benefits/ coverage.
• Calls the client prior to the intake appointment to notify them of benefit coverage including co-pays, co-insurance and deductible information; confirms appointment time and location/how to access telecounseling platform.
• Completes monthly Medicaid and Medicare insurance verification for all clients at all sites who have coverage under these payers.
• Actively maintains and works to engage clients on the Incomplete Point of Entry (IPOE) log in Qualifacts.
• This position will assume responsibility in partnership with the "team" in identifying and eliminating barriers to service.
• Assists in all clerical duties including but not limited to; filing, faxing, answering phones, checking in clients, and all other assigned duties.

QUALIFICATIONS

• Minimum high school diploma or equivalent. Associate’s preferred. Demonstrated skill in office procedures, data entry, and human services.
• Insurance knowledge/verification experience required.
• Well- developed verbal and written communication skills.
• Detail oriented a must.
• Ability to establish and maintain good relationships with persons internal and external to the agency.
• Ability to accept supervisory direction and to work independently on assigned tasks.
• Special abilities and skill that are necessary to perform the required tasks and that best meet the needs of the Agency also will be considered. Any standard above may be waived when compensating specifications or circumstances exists.

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Insurance verification: 1 year (Required)

Work Location: Hybrid remote in Pontiac, MI 48341

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