Admissions Specialist - Temporary

Overview

Nexus-Gerard is looking to add a Temporary Admissions Specialist to join our residential team!

Nexus Family Healing is a national nonprofit network of mental health agencies with over 50 years of restoring hope for thousands of children and families through outpatient/community mental health services, foster care, adoption, and residential treatment.

At Nexus Family Healing
, we embrace diversity, promote equity, and foster inclusion. As a national mental health organization, we serve a diverse group of youth and families, and we strive for our workforce to support and represent that diversity.

• 1111 28th St NE, Austin, MN 55912

• Starting Salary: $19.00 - $23.00
• Temporary Full-time, Monday - Friday

Coordinate the admissions process for the academy ensuring that all appropriate documentation is completed and assist in the effective communication between all parties involved to facilitate a smooth transition into the facility for the youth being served, while also insuring appropriate reimbursement for the academy.

• Coordinates the referral process for all youth referred to the academy including notification and ongoing contact with insurance providers regarding prior authorization and ongoing authorization of treatment services.
• Consults with the academy treatment team regarding youth diagnoses, medical necessity/need for treatment, expected length of treatment, and necessary case documentation.
• Assists in the completion of all aspects of the admissions process, including meeting with youth, families, and/or referral sources, when appropriate, prior to or upon the youth’s admission to the academy.
• Demonstrates exceptional oral and written communication with internal and external audiences; demonstrates professionalism and ethical conduct at all times with clients, youth, visitors and staff.
• Advises program staff regarding the timing and details of new admissions; demonstrates proficiency in all administrative admissions processes to support the timely admissions into the agency and program.

• Ensures client admission data and clinical documentation for new admissions is procured in compliance with all county, state, federal, and private insurance requirements related to treatment appropriateness, medical necessity, and appropriate case documentation.
• Works closely with clinical teams to ensure the documentation meets insurance provider criteria for preauthorization and ongoing authorization of treatment services.
• Reconciles and follows up with staff members on clinical documentation discrepancies pertaining to insurance reimbursement.
• Advocates with insurance providers for the need for client treatment prior to admission and for continued stay.

• Collaborates with insurance providers to ensure diagnostic coding meets public and private provider expectations and generally accepted standards.
• Responds to insurance providers regarding issues related to diagnostic coding and/or other factors that could impact payment for services rendered.
• Consults with insurance provider as needed to resolve outstanding issues related to insurance reimbursements.
• Assists internal and external customers (including insurance providers) as appropriate, to understand and navigate the systems of services and supports of the academy.
• Provides training and information about insurance provider documentation requirements to clinical, supervisory, and management staff as requested.
• Participates, when appropriate, in team review of client treatment plans to ensure that services meet generally accepted requirements as set by Department of Human Services (DHS), and/or Department of Corrections (DOC).
• Participates in state and federal audits (as applicable) of programs to ensure the Agency is in compliance.

• Assists with public relations activities to promote the academy within the community, as well as with existing and potential referral sources.
• Collaborates with funders, including counties, public and private insurance providers and families to ensure the…