The Program and Consumer Support Specialist III (PCS III) is directly responsible to the Program and Consumer Support Team Leader who assigns work, sets priorities and reviews work on an ongoing basis. The PCS III is responsible for providing day-to-day administrative and business services which support the operations of a particular program and/or service model; maintaining compliance with all federal, state and contract requirements associated with service delivery and payment adjudication (program support) and; ensuring effective and efficient engagement of individuals receiving services (consumer support). This is a hybrid position requiring at least three days a week in the office. Essential Functions: Provide Administrative and Business Services: Receive/screen telephone calls and callers providing program information as requested, and/or route calls to the appropriate point of contact Utilize an electronic health record system to accept and record payments; manage and schedule appointments; log information as requested; provide administrative and demographic screening for individuals seeking services; and communicate with service providers Review and confirm complete and accurate entry of consumer information into the electronic health record Interface with patient accounts to address and/or resolve issues with respect to accepting/logging payments for services Interface with insurance companies to complete benefits checks and confirm benefits assignments in the electronic health record. Provide operational support in accordance with demands of program and/or service model such as serving as administrative gatekeeper (or point of contact) for external partners/stakeholders Performs other duties as required Ensure Effective and Efficient Engagement of Individuals Receiving Services (Consumer Support) Treat individuals courteously; maintain professional boundaries and confidentiality at all times, and actively demonstrate a ‘person-centered’ approach to service delivery Maintain working knowledge/familiarity with all on-going and one-time department programs, services, and administrative policies related to individuals receiving services Interact with visitors/individuals to direct them to the appropriate programs, services, staff members, etc. Provide accurate and timely information with respect to an individual’s insurance status; provide guidance and information associated with fee assessment and fee setting related to service delivery Maintain Compliance with all Federal, State, and Contract Requirements/Regulations (Program Support) Participate in regular training related to Agency policies and procedures and routinely adhere to administrative practices which align with JSSA’s mission and comply with all necessary regulations (i.e. HIPAA)
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Job Type
Full-time
Career Level
Mid Level