Admissions & Assessment Specialist in Annapolis, Maryland at Advocate Support Services Inc

• Own assigned admissions and assessment workflows from referral acceptance through completed admission handoff.
• Review referral information for completeness, eligibility indicators, missing documentation, diagnosis/referral documentation, provider information, risk factors, and admission-readiness concerns.
• Initiate contact with new referrals or referral sources within 1 business day of assignment.
• Initiate intake scheduling within 2 business hours of referral acceptance and offer the earliest appropriate appointment no later than the next business day when client availability and referral readiness allow.
• Complete PRP intake and assessment documentation in Alleva within credentialed scope and in accordance with Advocate policy, COMAR requirements, and Maryland Medicaid / Public Behavioral Health System expectations.
• Administer the DLA-20 assessment as part of the PRP intake and assessment process in accordance with Advocate protocols.
• Develop the initial Individual Rehabilitation Plan based on assessment findings, client-identified goals, medical necessity, PRP eligibility, and person-centered rehabilitation needs.
• Verify or coordinate verification of payer/insurance requirements, Maryland Medicaid EVS status, diagnosis/referral documentation, referring/treating provider NPI, and authorization requirements for new admissions in coordination with Advocate's admissions, QA, authorizations, and operational support workflows.
• Complete required admission-readiness and safety screening as assigned, including Maryland Judiciary Case Search and Maryland Sex Offender Registry checks when required by Advocate policy, and escalate concerns to leadership rather than making automatic admission-denial decisions.
• Prepare, submit, and track initial insurance/payer authorization requests for new PRP admissions using Carelon, Maryland Medicaid, or other designated payer portals where authorization is required.
• Respond to payer requests for additional information and escalate denials, eligibility concerns, medical necessity concerns, delayed determinations, or authorization barriers promptly.
• Complete assessment documentation and the initial IRP in Alleva on the same day as the intake/assessment appointment whenever operationally and clinically feasible, and no later than applicable Advocate, COMAR, Medicaid, or payer requirements.
• Coordinate a clean admission handoff to PRP Operations, including assessment findings, initial IRP, insurance/EVS status, diagnosis/referral and provider/NPI verification status, initial authorization status, risk flags, engagement barriers, safety-screening concerns, and recommended next steps.
• Update referral, authorization, and admission status in HubSpot, Alleva, payer portals, and other designated organizational systems on the same business day as meaningful activity.
• Maintain audit-ready documentation that supports medical necessity, PRP eligibility, insurance/EVS verification, provider/NPI verification, required safety-screening completion, initial authorization readiness, Medicaid billing integrity, and continuity of care.

Salary range: $70,000–$78,000 annually, based on credentials and relevant PRP/admissions experience.

Additional compensation: Eligible for Advocate’s admissions incentive program after established baseline admission expectations are met, subject to documentation quality, compliance, and leadership approval.

Vehicle allowance: Eligible for a $300/month vehicle allowance if community-based assessment activity is assigned and authorized in writing.

Benefits: Eligible for Advocate’s standard full-time employee benefits, medical, dental, vision, retirement, PTO.

Advocate Support Services, Inc. is an equal opportunity employer. Advocate provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.