Intensive Behavioral Health Services (IBHS) Care Coordinator
At the Achievement Center of LECOM Health, we believe in those we serve as much as we believe in those who serve. If you're looking for a place that invests in your growth and values your contributions, come join us! Together, we can help ensure that any child, through any challenge, can achieve.
The IBHS Care Coordinator plays a vital administrative role in supporting the effective delivery of services within the IBHS Individual Services and IBHS ABA Services programs at the Achievement Center of LECOM Health. This position involves regular collaboration with clinical staff to ensure timely processing of initial and continued stay reauthorization requests essential to maintaining continuity of care for clients receiving IBHS services. The Care Coordinator also communicates regularly with Managed Care Organizations (MCOs) and commercial insurance providers as part of the reauthorization process. For newly referred clients, the coordinator assists assigned clinicians with the intake process, facilitating smooth and timely service initiation. In addition, the Care Coordinator provides administrative support to the Psychology Testing Clinic located at the Corry office as assigned.
Responsibilities include scheduling appointments; making reminder calls; assisting parents, caregivers, and clients in completing pre-appointment documentation; collaboration with schools, primary care providers (PCPs), and other stakeholders from whom the psychologist may need information; obtaining authorizations and managing billing-related documentation in support of the program. This position reports directly to the IBHS Administrative Director.
Responsibilities include:
- Copying, faxing, scanning, emailing, etc. of documentation for internal department needs or to communicate with external stakeholders.
- Ensures timely filing/recording of staff training materials.
- Assists with data entry into Managed Care Organizations' web portals Community Care Behavioral Health Organization's data to measure clinical progress and metrics.
- Establishes/maintains communication with clinical staff, families, schools or other stakeholders regarding authorizations and/or changes in service provision.
- Attends to concerns raised by clients or families, accommodates reasonable requests, and communicates any dissatisfaction to supervisor and/or IBHS Administrative Director.
- Addresses client and family questions or concerns or ensures they are directed appropriately to support resolution.
- Maintains IBHS Spreadsheet at least daily so agency staff are always aware which children are due for psychological evaluation or MH assessment and which funding stream(s) apply.
- Tracks eligibility problems identified by billing, informs clinical staff of how to respond, and follows up until the concern is resolved or the child is discharged.
- Assembles Intake Packets for all new IBHS clients and forwards packets to assigned clinicians.
- Maintains current knowledge of the authorization, collaboration/amendment, and grievance/appeal procedures for all funding streams and supports clinicians in navigating them.
- Provides clinical staff with insurance information relevant to the delivery of service.
- Completion of components of authorization packets to include checklists and Plan of Care (POCs) from information submitted by the clinical team.
- Manages Commercial Insurance authorizations and communicates.
- Scheduling/rescheduling of psychology appointments to ensure timely access for clients/families or other outreach to clients/families.
- Reminder calls, as needed
- Provides on-site support to regional offices in conjunction with in-person appointments for psychological services
- Adheres to the agency's mission, vision, philosophy, guiding principles and core values; demonstrates commitment to the agency.
- Demonstrates flexibility and functions as a team member.
- Follows agency Health Insurance Portability and Accountability Act (HIPAA) policies regarding client contact and record keeping.
Requirements include:
- High school diploma.
- Experience working with an electronic medical records system.
- Preferred: Associate degree in Office Administration, Business Administration or a behavioral health field
- Two or more (2+) years of experience in an administrative support position.
- One or more (1+) years of experience in behavioral health system of care.
Why join the Achievement Center of LECOM Health?
Compensation: ACLH offers a competitive salary based on experience.
Time Off: 8 Paid holidays in addition to generous vacation, sick, and paid time off.
Professional Advancement: Professional development opportunities and dedicated training budget.
Benefits:
- Medical Insurance
- Home Host option – waived co-pays and deductibles when utilizing LECOM physicians and Millcreek Community Hospital.
- Highmark BC/BS Medical Insurance
- Employee only coverage costs only $70/month and family is only $320/month!
- Dental Insurance
- BAI Insurance
- Employee coverage is only $10/month and Family coverage is only $27.20/month.
- Vision Insurance.
- Life Insurance, Long-Term Disability and AD&D are provided at no cost to you.
- Various other elective benefits are available such as Identity theft protection, Short-Term Disability, travel insurance, pet Insurance, etc.
- Employee Assistance program (EAP).
- Employee Referral program.
Retirement: 403(b) Savings Plan enrollment with company match up to 6% of your pay after one year of employment.
- Returning employees may take advantage of the retirement match immediately or earlier than one year.
Wellness: No cost Employee Assistance Program, discounted membership to LECOM Wellness Center, and a dedication to work/life balance.
Student Loan Forgiveness: We are a recognized 501(c)(3) nonprofit which qualifies for Public Service Loan Forgiveness (PSLF) program.
Bilingual individuals are encouraged to apply.