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Job description
Job Type
Full-time
Description
Schedule: Monday - Friday 5:30am-1:30pm
Community Medical Services (CMS) is hiring a Texas Grant Utilization Reviewer. Under the supervision of the Regional Operations Director, the Texas Grant Utilization Reviewer is responsible for monitoring Texas Grant Funded Client Tracker to ensure current client census is reflected, removing clients that have been discharged in a timely manner, and checking due dates and missing documentation for each client on funding and communicating updates needed to responsible staff and management.
This position will travel to multiple CMS sites.
As part of our mission to help individuals recover from substance use disorders, you'll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.
Along the way, we'll invest in your well-being through a benefits package that includes:
Subsidized medical, dental, and vision insurance
Health savings account
Short and long-term disability insurance
Life insurance
Paid sick, vacation, and holiday time
401K retirement plan with match
Tuition and CME reimbursement up to 100%
Employee assistance program to support your mental health and wellness
Ongoing professional development
Responsibilities: Monitoring Texas Grant Funded Client Tracker to ensure current client census is
reflected, removing clients that have been discharged in a timely manner, and
checking due dates and missing documentation for each client on funding and
communicating updates needed to responsible staff and management (KC)
Completing Daily Capacity Reports in CMBHS for each service location to
ensure slots are not over capacity for funding and sending to Regional Director
Running Methasoft reports to compare against census, informing staff of
discrepancies to resolve in timely manner including newly funded clients that need a
change in billing episode.
Running GRPA reports weekly from CMBHS and sending them directly to managers
showing which staff are due/overdue to increase compliance. (Have not run report
from CMBHS, I've been checking each client's chart) Run Report Called GPRA Client
due for assessment.
Attending monthly GRPA webinar update
Assisting other staff in trouble shooting errors, issues with service locations, revising
documentation, etc.
Responsible for making contact in person or over phone to complete updated
Financial Eligibility with client (will make 3 attempts and document each prior to
communicating need for other staff to assist with process.
Documenting all services provided to client
Skills: Ability to communicate clearly and effectively between all organizational levels and with outside providers
Advanced computer knowledge, including ability to navigate in electronic health records
General knowledge and aptitude for working independently with adults of mixed ethnic groups
Culturally competent and sensitive to client and employee needs
Excellent organizational skills, accuracy, and attention to detail
Problem solving, conflict resolution, time management, and strong customer service skills
Strong team player comfortable working in a fast-paced setting
Ability to maintain confidentiality to ensure compliance with HIPAA and 42 CFR, Part 2
Flexible with the ability to work in a continuously changing environment
Requirements
Education, Certification, and Experience Requirements: High School diploma required plus relevant insurance verification experience
2+ years of front desk experience, preferably at hospital front desk or multi-physician practice
Proficient in an electronic medical record required, along with Microsoft Office Suite programs
Excellent organizational, problem-solving, time management and interpersonal skills
Tools and Equipment: The ability to use a phone, computer, printer, and copier is required.
Frequent use of Microsoft office products, including but not limited to Outlook, Word, Excel, and PowerPoint.
Frequent use of electronic health record to document patient encounters.
Physical Working Conditions and Office Setting Description: Ability to travel to assigned CMS sites (only keep if applicable)
Prolonged sitting, standing, frequent bending, stooping, or stretching associated with an office environment
Frequent and prolonged typing and operation of computer, keyboard, and telephones
#CLSTF
About Community Medical Services
Community Medical Services (CMS) is a CARF-accredited addiction treatment program providing services in the form of outpatient medication-assisted treatment and one-on-one and group counseling to those seeking help with their opioid use disorder. Headquartered in Arizona with more than 70 treatment clinics in 14 states, CMS is dedicated to meeting the challenges presented by the growing opioid epidemic in communities where treatment is lacking.
Our Commitment
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Other Conditions
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Worksite address
cedar park, TX, 78613, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.