Admissions Representative - Hybrid

Description

Zinnia Health is a fast-growing integrated healthcare company. We value our employees and care for our clients. Do you have unique talents that you would like to share with others? We would love to have you join our team!

Competitive Pay

Career Development

Competitive Benefits & 401k

Values: Integrity, Teamplay, 1% Better Each Day

Schedule / Hours / Location

• •Full Time / 40 hours
• •Tuesday through Saturday, 11:00 a.m. to 7:30 p.m.
• •Location - Hybrid office/home, Office location is North Kingstown, RI

Position Summary

The Admissions Representative serves as the first point of contact for prospective clients and their families, guiding them through the admissions process with professionalism and care. This position performs duties including, but not limited to, answering pre-admissions/general intake questions from potential clients, families, and/or their referral sources, conducting over-the-phone screenings, scheduling intakes, and assisting clients with understanding of insurance coverage and benefits.

Essential Duties and Responsibilities

The following list is not intended to be all-inclusive or comprehensive. Other duties may be assigned.

Responds to inquiries from potential clients, families, and referral sources via phone, email, and website.

Conducts initial pre-screenings and assessments to determine program eligibility.

Provides information about treatment services, program options, insurance verification, and admission procedures.

Collaborates with clinical and administrative teams to ensure a seamless intake process.

Maintains accurate records in the CRM or EMR system and follow up with potential clients as needed.

Assists with coordinating transportation and scheduling of admissions.

Ensures compliance with HIPAA and other confidentiality guidelines.

Understands federal and state requirements regarding client confidentiality and the principles of maintaining protected health information (PHI).

Assists supervisory staff with any follow-up requirements associated with any file in the operations systems.

Audits client accounts to ensure files are complete and compliance is maintained.

Communicates and works effectively with all team members and supervisors.

Attends and participates in company meetings and training.

Maintains professional standards and follows all policies and procedures of the organization.

Completes all documentation consistent with HIPAA and confidentiality requirements.

Effectively uses technology to improve performance and enhance organizational processes.

Carries out other responsibilities as needed, delegated, and/or assigned.

Skills, Knowledge, and Abilities

Excellent working knowledge of office equipment and software programs

Excellent phone etiquette and able to communicate easily with clients, co-workers, and outside parties in an appropriate manner

Attention to detail

Ability to complete all insurance related documents and correspondence for any assigned clients in a timely manner

Knowledge of insurance coverages, verifications, the billing cycle process, and behavioral health terminology

Ability to maintain confidentiality

Knowledge of infection control practices for an office environment.

Ability to work independently and seek guidance when needed

Ability to demonstrate appropriate boundaries between staff and clients

Ability to implement daily schedule of tasks to complete assigned tasks in a timely manner with little supervision

Flexibility to interact with potential clients and families who may be experiencing debilitating health conditions and emotional volatility

Willingness and ability to make effective decisions in a timely manner

Ability to multi-task in a fast-paced environment

Demonstrate patience and consideration in dealing with others

Demonstrate thoughtful decision-making

Ensure client confidentiality in accordance with all federal, state and local laws and regulations

Communicate effectively (both written and verbal) with customers and colleagues

Organized, detail-oriented, multi-tasker, adaptable, positive

Competencies

Understand and implement emergency procedures

Understand and implement infection control procedures for an office environment

Use technology and equipment in the performance of job functions

Understand and operate with respect for client rights. Follow and provide support for grievance procedures

Document tasks as required

Understand and adhere to Code of Ethics

Understand and adhere to dress code

Perform client interactions effectively and adhere to boundaries

Seek guidance from supervisor when needed/appropriate

Effective communication with clients, staff, and supervisors

Respond to and/or de-escalate callers experiencing crisis and/or emotional volatility

Recognize and provide resources to callers as needed

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; stoop, kneel, crouch, or crawl and talk or hear

The employee must frequently lift and/or move up to 10 pounds, occasionally lift and/or move up to 25 pounds

Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee may be exposed to moving mechanical parts; fumes or airborne particles; toxic or caustic chemicals; outside weather conditions and risk of electrical shock

The noise level in the work environment is usually quiet but may vary depending on call volume

This job generally operates in an office setting (call-center environment)

This role requires regular periods of sitting at a desk and computer while on extended phone calls

This role may require walking to and between various locations

This role may involve exposure to clients who may be infected with Hepatitis B, HIV, TB, or other Infectious Diseases

Requirements

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education

High School Diploma preferred

Training in the use of office equipment and sales software/programs preferred.

Training in insurance plans and/or medical billing preferred.

Certificates, Licenses, Registrations

None required

Professional Experience

1 year of experience in healthcare admissions (experience in substance abuse treatment is preferred)

Previous experience working with health insurance companies is preferred

Environmental/Physical Requirements:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Noise Level – usually quiet

2. Physical Demands – employee is frequently required to sit; employee must occasionally lift and / or move up to 25 pounds

Minimum of 3 years of lived experience with substance use and/or mental health d