GENERAL DESCRIPTION
Under general direction of the Director of Behavioral Health Services, the Behavioral Health Coordinator assists in the day-to-day administrative/clerical functions of the Behavioral Health Program. This includes the coordination of specified medical billing and credentialing responsibilities. As a member of the behavioral health team represents Macon Resources, Inc. (MRI) in scheduling and coordinating program activities, evaluating service effectiveness, and in assuring services are provided in accordance with local, state and federal laws; licensure/certification/accreditation standards; and agency policies and procedures.
ESSENTIAL JOB RESPONSIBILITIES
- Maintain patient billing by monitoring payments.
- Apply correct services and rates to persons served as shown in IMCANS and insurance providers.
- Review insurance and prior authorization for new referrals using provider portals.
- Investigate and appeal denied claims; resubmit corrected claims.
- Follow up on missed payments and resolve financial discrepancies.
- Answer billing, coding, and insurances questions.
- Maintain records of staff/program licensure and recertification as well as credentialing of providers.
- Assist in transition/linkage to and from other agencies and third parties.
- Manage allocation of behavioral health budget.
- Assist in scheduling of persons served in behavioral health services.
- Researching opportunities for community integration activities; coordinate community support and behavioral health events including creating a calendar of events, arranging transportation, and communicating activities with other departments.
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- Assumes the responsibility to attend and complete the initial MRI training requirements (core training and job-specific training). On an ongoing basis, attends and participates in any required recertification or refresher sessions and/or other training deemed appropriate by the super-visor and/or the Program/Department Director within specified time frames.
- Participates in agency in-service training sessions as assigned by the supervisor and/or Program/Department Director and/or on a voluntary basis to enhance one's knowledge and skills.
- Drives safely in an official capacity to conduct agency business for MRI and, on occasion, may provide transportation to individuals/families served; observes all local, state and federal laws, as well as all agency policies and procedures.
- Monitors the primary work area to assure that basic housekeeping and sanitation procedures are performed on a daily basis.
- Communicates, retains, and releases information (both written and verbal) on a need-to-know basis and in accordance with the Mental Health and Developmental Disabilities Confidentiality Act, HIPPA, and Macon Resources, Inc. Policies and Procedures.
- Practices and enforces MRI Safety Policies and Procedures and monitors and assures the safety of staff, persons/families served, agency guests, and agency property.
- Keeps supervisor informed verbally and in writing of problems and activities within the assigned area of responsibility; refers matters beyond limits of authority and expertise to the supervisor for direction.
- Performs special projects or other related work within the scope of the job responsibilities of this position as required or requested.
- Administers standard first aid and CPR procedures on an as-needed basis, while maintaining current certification for both.
- Performs other duties as request by the Supervisor.
NON-ESSENTIAL JOB RESPONSIBILITIES
None
SUPERVISORY RESPONSIBILITIES
None
