Client Benefits Coordinator

ResCare Community Living

Are you the super-star multitasker type strong in administration skills Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Read below for information on this opportunity and apply today!

Verifies prior to admission the individual is eligible for Medicaid and has some type of active Medicaid based on referral packet.
Oversees completion of all Admission paperwork (found on Central Intake Shared Drive)
Completes Medicaid application ON THE DAY OF ADMISSION regardless of the current status to ensure Medicaid continues and is the correct coverage for the specific program.
Faxes application and maintains verification of transmission
Verifies prior to admission if the individual is eligible for Social Security Benefits if current benefits received do not exceed maximum community SSI stipend. Completed application for SSI benefits if qualifies.
Prior to admission ensures that all the individuals resources are accounted for such as Burial Trust ARC Trusts life insurance
Responsible for entry of benefits and personal spending on Room and Board Agreements. Printing of room and food documents for signature.
Sends PAC form attaching copies of signed room and food documents to Central Intake
Responsible for ensuring all new admission paperwork is completed which includes: ALL ADMISSION DOCUMENTS listed on attached forms Submits documentation concerning Representative Payee to Client Trust Fund
Responsible for working with Client Trust Fund Coordinator at the Austin
Business Center to set up RFMS Account
Assure individuals who qualify are enrolled with right Medicare Part D provider
Completes PAC form for new admission and submits to Central Intake to include PAC required information as well as a copy of current IDRC and IPC as appropriate. One form can be used for submission of all documents.
NEW ADMISSIONS CENTRAL INTAKE
Enters admission information in required state systems
Enters admission information into Interactant
Enters correct Level of Need into Interactant
Ensures Purpose Code 2 entered by Local Authority matches Interactant
Enters Service Authorization and Level of Need begin and end dates are entered into Interactant
Completion of Room and Board Templates for any shared household expenses Enters Applied Income and Room and Board into Interactant as monthly reoccurring charge
Completes initial admission entry into Task Master Pro
NEW ADMISSIONS AUSTIN BUSINESS CENTER
Ensures all daily revenue drops correctly and new admission information matches reported census in Revenue Workbook
Opens and Assigns RFMS account numbers for benefit direct deposits
On-Going Verification OPERATIONS
Checks and Responds to Quickbase assignments concerning issues with Medicaid Eligibility or Service Authorization issues
Completes Medicaid Redetermination for each individual annually or as needed
Files Medicaid Appeals when required within 30-day time frame of decisions
Notifies Medicaid or Social Security of any changes in benefits and wages Completes Redetermination for Food Stamps as required
Updates Room and Board Templates with changes in food stamps or benefits prints for signatures. Completes PAC form for submission of all annual and revised Room and Board Agreements to Central Intake
Ensures that all individuals remain eligible for all benefits at all times while they are receiving services
Ensures all annual IDRCs and IPCs are completed and submitted timely along with PAC form to Central Intake.
Communicates to Business Manager all CHANGES to LON based on submitted/approved IDRCs
Reviews Quickbase for utilization issues requiring IPC revisions in the waiver. Ensures needed revisions are completed timely and prepares PAC forms for submission of all revisions to Central Intake.
Reviews RFMS K-2 report in Quickbase to ensure resources are within Medicaid Limits and ensures planned spending occurs timely (before end of the month)
Notifies Social Security Administration of any ongoing/future income changes
Assure any lump sums are entitled to that person and spent down accordingly
Completes annual SSA Income report
Monitor Request and Assure Room & Board is received for non-payee individuals to include completion of monthly invoices for self-pay and CLIAB in those cases where EduCare is not the Representative Payee.
Change Medicaid providers to assure physician needs are covered under the right group for that area/main PCP.
ONGOING VERIFICATION CENTRAL INTAKE
Runs monthly MESAV by the 4th day of the month
Uploads information on any ineligibility reports to Quickbase
Uploads Utilization report to Quickbase Uploads 2-K report to Quickbase
Uploads Unbillable Report issues monthly into Quickbase
To identify:
Expired Medicaid
Expiring IDRCs
Expiring IPCs IPC revision needs Client Holds.
Spend Down needs
o Create Quickbase record for all issues found
o Sent to Business()ffice Managers/Client Benefit Coordinators for correction
o Enters ALL on going service authorizations into the State Systems reviewing to ensure basic services are present on all plans
o Enters ALL on going service authorizations into Interactant
o Ensures all Data Entry processes to completion in state systems
o Enters ALL changes for Room and Food Agreements into Interactant
Notifies operations of all inaction with regards to 2K report prior to end of month Updates all Applied Income or Room and Board charge changes in interactant as reoccurring charge
ONGOING VERIFICATION AUSTIN BUSINESS CENTER
o Completes and sends to Central Intake Unbillable Reports for those items that cannot be entered into CARE when billing is complete for upload into Quickbase. Sends monthly Denial Reports to operations for any billing denied by the state (could be entered but did not pay) on a weekly basis with information from the previous week to Central Intake for upload into Quickbase
o Completes utilization report from Interactant by the 5th business day of the month and sends to Central Intake for upload into Quickbase showing:
Overutilization of services
Underutilization of services
Requirement for immediate plan revisions
o Runs 2K report after care cost withdrawals (first business day after the 1 1 th) and sends to Central Intake for upload to Quickbase Uploads monthly reported Revenue into AR system
o Bills electronically or manually all authorized services provided
o Completes all 4116s for adaptive aids/dental/minor home modification billing and submits to state for payment authorization.
o Runs monthly report by procedure code Self Pay and CLIAB from Interactant to complete Cost Care transfers.

Must have a High School diploma or GED equivalent
Two years of related office management or bookkeeping experience. Human Resources experience preferred
Must be proficient with Microsoft Word and Excel