Job Description

Full-time, Days

7am-4pm

80 hrs/2 weeks

General Summary

Assists the Program Manager in facilitating the design, development, provision and evaluation of services.

Duties and Responsibilities

Remote Work Capable

Essential Functions:

• Checks for payor eligibility/ enrollment.
• Contacts parent/county agencies involved/school/other professionals.
• Completes necessary tracking forms/documentation.
• Forwards information to secretary for scheduling.
• Completes and compiles necessary information to generate funding packet for each patient receiving services.
• Tracks/monitors funding expirations.
• Tracks/monitors funding authorizations.
• Problem-solves/seeks resolution surrounding billing issues with assistance of WellSpan biller and case manager coordinator.
• Contacts individuals and/or family as necessary regarding eligibility status.
• Assigns patients authorized for services to individual staff within the program.
• Tracks admission status/change in authorized hours/discharges to efficiently assign patients and inform staff of changes.
• Compiles caseload information to distribute to staff.
• Checks eligibility status of each patient bi-weekly noting changes in coverage.
• Completes documentation check bi-weekly.
• Maintains accurate status report including patient name, hours authorized, expiration date of authorization, and waiting list.
• Adheres/enforces policies and procedures and/or charges to existing program and ensures proper implementation.
• Assists in development of policies and procedures.

Common Expectations:

• Promotes WellSpan services in the hospital and community.
• Attends program meetings as expected.
• Assists in additional tasks as assigned by the Program Manager.
• Provides other services as assigned.

Qualifications

Minimum Education:

• Bachelors Degree Required

Work Experience:

• 1 year Relevant experience. Preferred

Knowledge, Skills, and Abilities:

• Excellent human relations and oral/written communication skills.
• Analytical ability.
• Visual and hearing ability.
• Knowledge of and ability in the care and support of individuals in a specific age group (adults and older adults).

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.