» Perform initial telephonic assessment prior to admission to assess if client meets criteria for admission» Worked with Doctors and Admissions Staff in clinical determination of clients to help decide their best level of care» Coordinate with our partner detox center to gather all necessary information for a smooth transfer» Performed pre certification, concurrent reviews for all insurance clients, as well as providing medication overview, justifying care at each level of care» Coordinate with our biller to ensure all client record is complete

» Developed and managed the Insurance Department (Team of 6) who specializes in health insurance and understands chemical dependency criterion for admission. As well as worked closely with the admissions department » The department’s main job function consist of contacting insurance companies to obtain substance abuse benefits, coordinate with Treatment Consultants with interpreting collected information, provided summary of cost, and reviewed pre-intake assessments to determine client placement criteria and the best suitable program(s)» The in-house access and the timely delivery of necessary information to proceed with admission that the department provided, improved workflow quality and enabled the sales staff to work more efficiently

» Contacted insurance companies and timely verified Chemical Dependency benefits» Determined cost of treatment, and maintained accuracy of client's private documents » Communicated with appropriate personnel for preparation of the pre-admission process for a more efficient clientele admit