Operations Specialist I

Company: Catalight
Location: Walnut Creek
Posted on: May 27, 2023

Job Description:

Looking for a role that helps close the access gap for families seeking autism services with an ultra-efficient assessment and onboarding process so kids can get the care they need quickly through innovative and flexible treatment options? Consider joining Catalight Care Services (CCS), one of the nation's largest behavioral health networks supporting more than 10,000 families a year and growing. In addition to providing access to exceptional care, the organization is helping build a culture and community focused on equality and belonging so all people, of all abilities can live their best lives and thrive. If that is not enough to entice you, clinical excellence reigns at the BHPN with a world-class multi-disciplinary team including MFTs, LCSWs, SLPs, Psychologists, Neuropsychologists, Medical psychologists and BCBAs. We also offer flexible hours and competitive compensation. JOIN US!

The Operations Specialist I (OS-I) lends operational support to CCS in managing its network of sub-contracted providers. The OS-I is responsible for actively supporting the administration of coordinated care, providing critical communications, managing report submissions, documenting transitions in client care, and ensuring that client and provider records are accurate and current. Serving as a liaison between CCS, individual providers, and client funding source, the OS-I ensures that each client receives the highest quality of services across the entire care cycle. -ESSENTIAL JOB FUNCTIONS -

• Proactively communicates and practices CCS's belief in the provision of high quality services by providing excellent operational support of service delivery to clients
• Tracks the administration and documentation of services throughout the care-cycle of the client, beginning with the referral for treatment and continuing through discharge from services
• In collaboration with other CCS departments, maintain -accurate client record at all times, and share -client information as needed and according to HIPAA regulations and following organizational procedures
• Plays a key role in ensuring that client reports are tracked systematically through the review process, and then delivered to the funding source on time to enable authorization/re-authorization without gaps or delays in services
• Responsible for correcting discrepancies and appropriately escalating issues within the client record, including delays in reports submissions and authorizations that may result in a client service disruption
• Collaborate with other departments within CCS to insure seamless transitions and warm hand-offs for clients, providers and customers as needed
• Responsible to complete additional job duties and projects as assigned by supervisor/management
• Enter approval letter and authorization data into Salesforce
• Communicate with external partners on issues or tasks related to authorization management
• Assists "customers" with authorization related inquiries and documents, as appropriate
• Obtains, reviews and inputs insurance policies, authorizations, and referral inquires throughout client services
• Accesses data in JIRA, Salesforce, Athena, Excel and other software as assigned
• Attends staff meetings, training, and other meetings as required and requested. -
  QUALIFICATIONS
  Minimum Education, Experience & Training Equivalent to: -
  • High School degree or GED required. Bachelor's degree preferred.
  • Cross functional experience in performing both technical and non-technical (i.e., people and process) support services preferred.
  • Atlassian/JIRA/Salesforce experience is preferred. Knowledge, Skills & Abilities:
    • Capacity to develop and manage positive working relationships with all departments in CCS demonstrating strong interpersonal skills.
    • Sensitivity to working with an ethnically, linguistically, culturally, and economically diverse population.
    • A commitment to the values of the organization while demonstrating good judgment, flexibility, patience and discretion when dealing with confidential and sensitive matters.
    • Proficient in Microsoft Office (Outlook, Word, Excel, etc.), especially Excel and related computer software.
    • Consistently demonstrate good judgment and decision-making skills.
    • Maintain the highest levels of confidentiality.
    • Ability to work in an exciting, fast paced high energy environment while effectively multitasking.
    • Capacity to work comfortably with individuals at all levels within the organization.
    • Ability to manage day-to-day responsibilities with or without supervision.
    • Frequent proofreading and checking documents for accuracy.
    • Excellent verbal and writing communication skills.
    • Highly detail-oriented.
      Physical Requirements: -
      • Ability to stand or sit for extended periods of time, stand for up to 6-8 hours a day.
      • Frequent speaking and listening (50%) to clients, staff, and other professionals in meetings and on the phone.
      • Frequent sitting and maintaining close visual attention to write reports and work at the computer.
      • Visual and auditory ability to work with clients, staff and others in the workplace continuously.
      • Ability to utilize computer and cell phone (iPhone).
      • Must be able to communicate effectively within the workplace, read and write using the primary language within the workplace. -
        CONDITIONS OF EMPLOYMENT -
        • Ability to obtain and maintain criminal record clearance through the Department of Justice (DOJ). The People & Performance Department must analyze DOJ/FBI live scan reports in accordance with applicable Federal, State, and Local laws, as well as fitness for the position.
        • Ability to obtain and maintain clearance through the Office of Inspector General.
        • Must attend all required training. Time Type: Full time Compensation: $26.00 to $29.00 per hour The statements contained in this job description reflect general details as necessary to describe the principal functions of this job. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas as deemed fit for the organization. Catalight -is an equal opportunity employer. At Catalight, we create a more equitable world so people with developmental disabilities can choose their paths. We break down barriers and biases, provide access to innovative, individualized care, clinical research and advocacy. We're more than a provider of person-centered care. We're a human-centered social enterprise made up of idea generators, curiosity seekers and lifelong explorers who help advance access to critical services and support for people with developmental disabilities.

Keywords: Catalight, Walnut Creek , Operations Specialist I, Other , Walnut Creek, California