Nexus-Gerard is hiring for an Admissions Specialist in Austin, MN!

In this position, you will coordinate the admissions process for the campus ensuring that all appropriate documentation is completed and assist in the effective communication between all parties involved to facilitate a smooth transition into the facility for the youth being served, while also insuring appropriate reimbursement for the campus.     

Primary responsibilities:

Client Referral Process

Coordinates the referral process for all youth referred to the agency including notification and ongoing contact with insurance providers regarding prior authorization and ongoing authorization of treatment services Consults with the treatment team regarding youth diagnoses, medical necessity/need for treatment, expected length of treatment, and necessary case documentation Assists in the completion of all aspects of the admissions process, including meeting with youth, families, and/or referral sources, when appropriate, prior to or upon the youth’s admission to the agency Advises program staff regarding the timing and details of new admissions

Client & Agency Admissions & Documentation Process & Compliance

Ensures client admission data and clinical documentation for new admissions is procured in compliance with all county, state, federal, and private insurance requirements related to treatment appropriateness, medical necessity, and appropriate case documentation Works closely with clinical teams to ensure the documentation meets insurance provider criteria for pre-authorization and ongoing authorization of treatment services Reconciles and follows up with staff members on clinical documentation discrepancies pertaining to insurance reimbursement Advocates with insurance providers for the need for client treatment prior to admission and for continued stay

Insurance Provider Relationship Management

Collaborates with insurance providers to ensure diagnostic coding meets public and private provider expectations and generally accepted standards Responds to insurance providers regarding issues related to diagnostic coding and/or other factors that could impact payment for services rendered Consults with insurance provider as needed to resolve outstanding issues related to insurance reimbursements Assists internal and external customers (including insurance providers) as appropriate, to understand and navigate the systems of services and supports of the academy Provides training and information about insurance provider documentation requirements to clinical, supervisory, and management staff as requested Participates, when appropriate, in team review of client treatment plans to ensure that services meet generally accepted requirements as set by Department of Human Services (DHS), and/or Department of Corrections (DOC) Participates in state and federal audits (as applicable) of programs to ensure the agency is in compliance

Public & Community Relations

Assists with public relations activities to promote the academy within the community, as well as with existing and potential referral sources Coordinates booth rental space and transportation of booth and materials, if warranted, for conferences Represents the academy in a professional, knowledgeable manner when assisting at conferences by staying up-to-date on all program milieus and various clinical services provided by the agency and Nexus Completes or assists with the completion of annual surveys and census questionnaires requested by referral counties and states; speaks to survey responses and outcomes with leadership as needed Creates and places ads for newspaper, conference and other advertising venues as needed and requested

Agency Policy, Procedure, Training & Compliance

Ensures the confidentiality regarding client/resident issues, background and treatment and comply with Nexus policies involving resident privacy and confidentiality rules for residents and their families Exhibits a spirit of cooperation and the ability to effectively participate in work teams; complies with all corporate and site policies and procedures Displays ethical conduct and professionalism at all times with external visitors and internal staff and clients; interacts with and appreciates people from diverse cultures, socio-economic backgrounds, and spiritual/religious affiliations

Required Education and Licensure:

High School diploma required.  Associate degree strongly preferred A minimum of 3 years related experience required, preferably within a residential or clinical setting Proficient with all Microsoft Office products including Outlook, Word, Excel and Access Familiar with accounting software Valid driver’s license required. Must meet state regulating agency and Nexus Home Office driving requirements

ICARE Values & Behavioral Competencies:

Innovation: Leading the way and implementing creative, cutting-edge ideas and approaches.

Compassion: Listening, honoring differences, and showing respect, kindness, empathy care, and concern.

Agility: Exhibiting flexibility and adapting quickly.

Responsiveness: Being quick, positive, and accurate.

Excellence: Demonstrating quality results that surpass ordinary standards.

Commitment to Diversity, Equity, & Inclusion:

At Nexus Family Healing, our voices and actions are focused on recognizing, affirming and respecting people of every race, ethnic background, socio-economic status, sexual orientation, gender expression and faith.