General Functions: Function as a liaison between Cornerstone Services' Behavioral Health programs and state-funded and contracted insurance providers to ensure continuity of care for all persons served. Verify, monitor, and coordinate client insurance eligibility changes; coordinate Health Plan authorizations and changes; assist in Health Plan contracting; ongoing staff education.

Specific Functions:

• Enter client registration information in the State of Illinois system and, when applicable, in systems maintained by various insurance companies. Registrations for agency-wide behavioral health services must be completed for all new intakes, updates, and discharged client.
• Monitor monthly insurance changes, track in spreadsheet, and notify staff and supervisors according to department protocol.
• Update agency database (DB) with MCO (insurance) carrier and authorization changes as necessary, making proper and timely notification to staff and supervisors.
• Run weekly tracking reports for all behavioral health (BH) consumers for each of the contracted Health Care Plans/MCO's.
• Monitor authorization reports, notify Behavioral Health Coordinators when authorizations are due, and assist in entering/submitting the clinical data required for the service authorizations.
• Assist BH staff with recordkeeping, including maintaining the financial and MCO fields of the DB.
• Work with the Health Plan carriers to maintain/secure new contracts.
• Participate in MCO provider meetings to network and maintain working relationships.
• Provide necessary education to agency staff regarding billing/insurance changes for our Medicaid/Medicare population.
• Address questions and issues regarding authorizations, billing, eligibility, and insurance for all consumers receiving BH services.
• Assist in addressing billing and contract issues with the Health Plans.
• Provide eligibility support as needed to the Kankakee and South Holland staff; handle the registrations and authorizations; maintain financial and MCO fields in the DB.
• Verify Medicaid benefits for all new clients to initiate the intake process and set up the DB as required.
• Enter D.A.R.T.S. forms for all agency SUPR-Licensed Co-Occurring Disorders (CDP) admissions, transfers, and discharges in the D.A.R.T.S. database. Provide reports to designated staff.
• Monitor employee changes for all agency staff providing BH services. Track and update the Universal IAMHP roster and the internal agency roster as employees change.
• Assist other CSI locations as necessary.
• Maintain ongoing compliance with all agency-related training and certification requirements.
• Respond per established procedures to all emergency situations including medical, behavioral, fire, severe weather, and other hazards.
• Operate agency or personal vehicle in accordance with established policies and procedures.
• Own, maintain, and use personal smartphone for company business in accordance with established policies and procedures.
• Other duties as assigned.

Qualifications: High school diploma or equivalent. Working knowledge of computerized systems critical. Excellent organization skills imperative. Experience in a healthcare setting with billing and service authorizations preferred. Driving record and auto insurance coverage in accordance with agency policy. A post-offer physical and criminal background check required. Reliable transportation required. EOE.

Job Type: Part-time

Pay: $23.97 per hour

Expected hours: 20 per week

Healthcare setting:

• Clinic
• Community health center

Schedule:

• Day shift

License/Certification:

• Driver's License (Required)

Shift availability:

• Day Shift (Required)

Ability to Commute:

• Joliet, IL 60435 (Required)

Ability to Relocate:

• Joliet, IL 60435: Relocate before starting work (Required)

Work Location: In person