Job Description

Assists in performing a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical services. **This position will be based on Suffolk, Nassau, Queens, Staten Island, NYC and Brooklyn.

The Centralized Outreach Team is a team of about 40+ staff members within the Community Wellness and Population Health, Health Management Division. Our team is currently outreaching and enrolling for six different programs: House Calls, PATH (Northwell Employees), Health Home Serving Children, Health Home Serving Adults, Healthfirst Risk program, and RPM.  
Our most extensive programs are HHSA, HHSC, and House Calls, and we are currently looking for an outreach associate to work with Health Home and House Calls.

Health Home is a New York State Medicaid-funded care coordination program with chronic diagnosis.  The goal of the Health Home program is to ensure that members get the care and services they need by having a care manager who will assist with their needs, avoiding fewer trips to the emergency room or inpatient stays.  

For Health Home, we have staff at a hospital or ambulatory site and in the community enrolling members. We also conduct telephonic outreach and enroll via DocuSign, which is an electronic way to enroll.  

House calls is a home-based primary care program that delivers care to homebound older adults in Northern Westchester, Manhattan, Staten Island, Brooklyn, Queens, Nassau, and Suffolk Counties.  The members must have Medicare and a medical necessity, meaning they have multiple chronic medical conditions and are generally over 65 years old.  We conduct bedside and telephonic outreach for these patients, and if interested, we schedule an enrollment for a provider to go to their home.
 

Job Responsibility

Assists in performing pre-registration and registration duties; Obtains necessary demographic and insurance information and enters data into computer system; Obtains appropriate signatures on medical, legal and financial forms;   Aids in verification of patient insurance coverage and other related data with third party carriers for scheduled appointments/procedures; Aids in obtaining patient’s insurance authorization required for services; Documents authorization approvals and denials in computer systems; Collects money due from patient at time of service; may preform billing, receivable and related functions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

High School Diploma or equivalent required. 0-1 years of relevant experience, required. Bi-lingual Spanish preferred

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).