POSITION SUMMARY:

Under the supervision of the Entitlements Supervisor, provides clerical support for the Saginaw County Community Mental Health Authority (SCCMHA) Entitlements program. Performs responsible clerical tasks requiring computer knowledge, and the exercise of judgment in the application of prescribed procedures and methods of routine matters. This position will assist in monitoring SCCMHA consumer insurance benefits, enrollment data, applications and communications needed for the consumer. This position will be knowledgeable about and actively support culturally competent recovery-based practices; person centered planning as a shared decision-making process with the individual, who defines his/her life goals and is assisted in developing a unique path toward those goals; and a trauma informed culture of safety to aid consumer in the recovery process.

QUALIFICATIONS:

Education: High School graduate or equivalent with courses in general business, typing, office practices, and computers.
Experience: A minimum of one year experience as a secretary or clerk typist in a related field.
Licenses and Certifications: Valid Michigan Driver’s licenses with a good driving record.
Knowledge, Skills, and Abilities:
1. Must possess knowledge of office practices, typing (45 WPM), English, spelling.
2. Must possess computer skills (Word and Excel preferable) and alphanumeric keyboard skills.
3. Ability to understand and follow oral and written directives, with good attention to detail.
4. Excellent organizational skills and ability to prioritize the workload.
5. Ability to produce accurate and comprehensive work products with minimal direction.
6. Ability to make minor decisions in accordance with laws, ordinances, regulations, and established policies.
7. Ability to recognize alphabetical and numerical sequences.
8. Able to work well and communicate with a diverse number of individuals.
9. Ability to use good judgment, tact and courtesy.
10. Knowledge of medical records procedures and the ability to work accurately with medical records.
11. Ability to work effectively in office environment.
Physical/Mental Requirements:
1. Hearing acuity to converse in person and on telephone.
2. Visual Acuity to read and proofread documents.
3. Ability to walk, stand, or sit for extended periods of time.
4. Manual to write and to operate standard office equipment (PC, Keyboard, Copy Machine, Fax Machine, etc.)
5. Ability to regularly lift and carry files and supplies at least 30 pounds. Ability to reach, bend, or stoop to manage charts or supplies up to 30 pounds, must also have the ability to push or pull large records cart.
6. Strong interpersonal skills to interact with leadership, employees, consumers and the general public.
7. Mental capacity to think independently, follow instruction and use judgment.
8. Ability to plan short and long range and to manage and schedule time.
9. Ability to handle stress in meeting deadlines and dealing with large numbers of employees and/or consumers.
(Listed qualifications are for guidance in filling this position. Any combination of education and experience that provides the necessary knowledge, skills, and abilities will be considered; however, mandatory licensing or certification requirements cannot be waived. Physical/mental requirements cannot be waived unless specifically indicated.)

ESSENTIAL DUTIES AND RESPONSIBLITIES:

1. Maintains and monitors eligibility in both individual consumer health records and in large databases. Compares data from different sources to ensure accurate information is used for fund source allocation for services provided. Assists in maintaining consumer eligibility records between MPHI, the DEG, and the consumer’s SCCMHA financial assessment database in order to assist access center and the finance department to allow for the proper fund source (Medicaid, Medicare, BCBS, HMO’s, Waivers, etc.) allocation of services received by consumers.
2. Observes all rules of confidentiality as they relate to consumer information, both internally and externally.
3. Responsible for being knowledgeable about consumer recipient rights, HIPAA regulations and procedures governing them.
4. Assists in completing required forms on open clients within the agency and those referred to outside providers.
5. Processes ATP (Ability to Pay)/Sliding Fee Schedule Applications along with monthly ATP renewals.
6. Assists with the maintenance of the spreadsheet to track SCCMHA consumers Medicaid deductible (spend down) information and assists case managers in completing deductible forms to submit to DHS.
7. Assists in the verification of consumer insurance information.
8. Assists consumers in filling out Medicaid Applications as needed.
9. Scans information into the consumer file within the Sentri system.
10. Sends out Explanation of Benefit (EOB) statements, letters, and other forms to consumers as needed.
11. Answers telephone and provides information appropriate to scope of responsibility.
12. Performs various other clerical-related duties as assigned.
13. Responsible for the proper response to requests for consumer health records in compliance with HIPAA, 42 CFR Part 2, and other relevant Michigan regulations.
14. Performs routine data entry with attention to completeness and accuracy and monitors all data for integrity, which includes address changes.
15. Ensures compliance too federal and state laws.
16. Adheres to core values and operating principles of Saginaw County Community Mental Health Authority (SCCMHA) at all times.

INCIDENTAL DUTIES AND RESPONSIBILITES:

1. Attends and participates in meetings as scheduled.
2. May serve as lead clerk overseeing work of another clerk or temporary clerk.
3. May work in another office or activity.
4. Works independently to become familiar with computer programs and software packages and attends meetings, in-service training, etc.
5. Reacts productively to change and handles other essential tasks as assigned.
6. Maintains a professional office setting at all times and organizes workflow in an effective and efficient manner, and completes all other duties as assigned.
7. Reviews policies and procedures as they relate to work with consumer entitlements.
8. Adheres to the mission, vision, core values and operating principles of SCCMHA at all times.
   (The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all duties and responsibilities required of personnel so classified.)