The Missouri Department of Mental Health (DMH) seeks a Billing Services Specialist. Thisposition is domiciled in Jefferson City, Missouri at the Department’s Central Office location. Remote work may be available after a successful probationary period.

Job Duties:

• Lead and/or participate in reviews for DBH contracted stakeholders;
  • Document results of reviews, including completing spreadsheets and writing summary reports;
  • Assist in the coordination of billing and service reviews with other DMH units and regional staff;
  • Function effectively as part of a team;
• Provide peer review of Billing Service Review (BSR) reports;
• Communicate with stakeholders regarding billing and documentation questions;
  • Conduct technical assistance reviews as requested by stakeholders;
  • Provide training to stakeholders as needed and/or requested;
• Assist in scheduling, coordinating and participating in desk reviews;
• Coordinate and respond to Medicaid third party review requests;
• Maintain knowledge and awareness of changes, revisions, and updates to policies, rules, standards, and manuals relating to billing reviews;
• Be knowledgeable of the documentation requirements both in the code of state regulations and DMH policies and procedures;
• Maintain knowledge of department operating regulations and contractual requirements of stakeholders;
• Update job knowledge by participating in educational opportunities;
• Conduct themselves in a professional manner at all times;
• Apply policies relating to appropriate documentation in a consistent manner; and
• Other duties as assigned.

Required skills:

• Strong interpersonal skills.
  • Ability to communicate effectively, orally, in writing, and virtually in a professional manner.
  • Compassionate with the ability to listen as well as challenge and find common ground.
  • Ability to provide technical assistance and perform trainings to stakeholders.
  • Ability to collaborate with a wide array of people across all levels of the department.
• Ability to work independently, setting priorities and managing workloads and work as a part of an established team.
  • Ability to organize work priorities and meet established timelines.
  • Exercise independent judgement and initiative in accomplishing assigned objective.
• Knowledge and experience utilizing Microsoft Outlook, Word, and Excel.

Eligibility:

A successful candidate must have a bachelor’s degree in social work, psychology, counseling, or closely related human services field and a minimum of two years professional experience. Experience with DBH contracted services and Medicaid programming is strongly preferred.

The Billing Services Specialist reports directly to the Billing and Service Review Coordinator. Some overnight travel may be required.