Job Duties and Responsibilities:

• Evaluate incoming telephone inquiries to determine needs and offer a screening.
• Contact referents and/or family members to determine their perspectives of the patient’s needs.
• Understand how to use Rogers Behavioral Health (RBH)contracted insurance provider listing when making decisions regarding admissions of potential patient.
• General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it related to admissions.
• Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents.
• Demonstrate clear, accurate and timely use of case notes.
• Interview patients and/or responsible representatives to obtain demographic and insurance information.
• Comply with needed metric collection to facilitate continuous improvement.
• Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services. Cases referred by a Rogers’ physician for outpatient treatment should be given to outreach for referrals.
• Explain insurance coverage to patients during the admission process and answer related questions.
• Involve the Manager in cases that require special attention due to the complex nature of the case.
• Ability to communicate and coordinate transfer to and from Rogers.
• Develop working relationships with physicians to ensure an open line of communication regarding patients care utilization of insurance benefits and criteria for authorization by third-party payers.
• Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
• Be available for on-call coverage as scheduled.
   

Apply good practice principles to job duties.

• Use good communication skills and tact to deal effectively with third-party carrier representatives, professional staff members, Hospital management, and employees.
• Use common sense in situations and respond appropriately in all communication modes (body language, verbal) to each patient, regardless of his/her behavior.
• Maintain a calm attitude and create a conducive atmosphere in difficult situations.
• Work cooperatively and supportively with Hospital staff.
• Remain courteous and respectful to others during work interactions and be willing to work out problems on a one-on-one basis.
• Complete assignments and documentation on time.
• Take responsibility for and manage day-to-day problems, including implementation of treatment plans and completion of all documents.

Education/Training Requirements:

• High school diploma required. Anticipated Bachelor’s Degree required with graduation within 90 days of employment, preferably in human services
• Oconomowoc Only: Valid driver license preferred and must be granted insurable status by the Rogers insurance policy.

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family 
• 401(k) retirement plan 
• Employee share program 
• Life/disability insurance 
• Flex spending accounts  
• Tuition reimbursement 
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)