Self-Direct Coordinator

Employment Type

Full-time

Non-exempt [Non-ex.]

Pay Range: $42,000 - $68,000

Note: Individuals typically begin between the minimum to middle of the pay range

Deliver effective customer care and service to members and their caregivers in the HMSA QUEST Integration Self-Direct (SD) program. Maintain records for members with self-directed services to ensure that all forms and required submissions are in place, that the member's selected provider of care is documented in HMSA systems and verify that reports from our vender matches approved authorizations.

• Associate's degree and one year of related work experience; or the equivalent combination of education and related work experience.
• Effective verbal and written communication skills.
• Basic knowledge of Microsoft Office applications. Including but not limited to Word, Outlook, and Power Point.
• Intermediate working knowledge in Microsoft Excel.

• Ensure that Self Direct Providers (SDP) and members are enrolled in Acumen and are trained to use the Electronic Visit Verification System (EVV). Audit enrollment for completion.
• Train new Health Coordinators (HC) in Acumen's EVV system as it relates to SD.
• Track and monitor monthly submission of time entries. Monitor EVV time punches.
• Contact SDPs regarding incomplete time entries and make corrections appropriately.
• Maintain payroll tracker.
• Notify HC's when authorizations are due.
• Complete payroll prep and approve pending entries in Acumen's EVV system.
• Process self-direct payroll payments by coordinating with Finance and Accounting
• Report any voids or credits to Finance and Accounting
• Monitor monthly manual entries and do remedial education to SD providers
• Respond to Finance and Accounting with any inquires
• Respond to member and Health Coordinator inquiries regarding Self-Direct EVV time punches and authorized hours and paychecks.
• Receive inbound calls from and make outbound calls to QUEST Integration members.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.