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Verifies Medicaid and other funding eligibility, as assigned and supports families in funding applications (i.e., Medicaid, Tefra, etc.) and redetermination processes
Communicates with parent/guardian regarding information or actions needed related to obtaining prescriptions, funding, PCP assignment, attendance, required documents, conferences, etc
Maintains and updates demographic and clinical support information (prior authorizations, pre-certifications, etc.) in data management platform and prepares reports as scheduled
Requests prior authorizations and/or pre-certifications for services as required by funders including monitoring to ensure prior authorizations and/or pre-certifications are current and align with recommendations for treatment
Respond to requests for additional information from insurance funders
Respond to requests for retrospective reviews for all assigned programs
Assist in the development and refinement of processes and procedures to ensure that they are in compliance with regulations and are effective and efficient in the management of referrals, enrollment, waitlist, etc
Assist in training new employees within the Support Services Department as well as new therapists, as needed
Maintain weekly enrollment tracking documents and participate in enrollment meetings
Understands and maintains current knowledge of applicable licensure and governing regulations and requirements
While performing the duties of this job, employee will comply with all federal, state and local laws and regulations pertaining to Easterseals Arkansas
Requirements
High School Diploma/GED and 3-5 years’ experience in providing administrative services in Early Intervention Day Treatment, Early Intervention, Pediatric Therapy or other Social Services program
A Bachelor's Degree in Social Services, Early Childhood Education or other Health Related Field preferred
Excellent written and verbal communication skills
Excellent interpersonal skills
Excellent organizational skills
Good time management skills
Ability to work effectively and collaboratively with individuals receiving services with diverse ability levels and employees with diverse experience and knowledge levels
Ability to be self-directed, creative and to take initiative
Demonstrated commitment to the values of diversity, equity, and inclusiveness
Competency with computer skills, i.e., Microsoft and Goggle applications including Word/Goggle Docs, Excel/Google Sheets and Gmail