Specialist III-Billing and Collections

Children’s Center of Wayne County (TCC) The Children’s Center, founded in 1929, provides evidence-based clinical therapy to children who deal with mental, behavioral, emotional, intellectual, and developmental health and educational challenges or may have experienced trauma.  

School Community-Based Partnerships: We partner with K-12 schools and community organizations that serve children to provide clinical therapy, counseling, psychological services, and psychiatric evaluations, treatment & interventions.  

Child Welfare: In addition to the clinical therapy programs offered, The Children’s Center places children in licensed foster homes, and supports them throughout their time in the child welfare system.   

Child Well-being Family Success: We operate an onsite family success center that promotes child-wellbeing and offers children and youth from all walks of life to access relevant mental health crisis prevention and child abuse and neglect prevention services.

Advocacy: We champion child and youth well-being for those experiencing poverty-related issues, those within the child welfare system, and those in need of evidence-based, clinical therapy. 

TCC’s mission is to help children and families shape their own futures.  If as many children as possible, and their families can easily access comprehensive, evidence-based, clinical therapy that is integrated into and supports their everyday lives then, children will experience an improved quality of life where they have a true sense of agency and empowerment in their lives. 

We embrace and demonstrate a set of Core Values as the foundation of our culture.  They define how we do what we do, and what we value in our work with each other and our community.  Daily demonstration of these values, in mindset and behavior, is required to be successful as a TCC team member. 

•    Dedicated-We are devoted, dedicated and always willing to pitch to accomplish our mission.   

•    Passionate-We are passionate about what we do and helping the people we serve.   

•    Accountable-We do what we say and accomplish all aspects of our responsibilities.   

•    Can Do Attitude- We approach our responsibilities with a positive attitude.  

•    Respectful- We always treat co-workers, donors, children and families with the utmost respect, courtesy, and patience.

Job Summary

The Billing and Collections Specialist III ensures all services are paid for on time and correctly.  This role is responsible for running all billing batches to all funders. This role works with all funders to ensure all information is received for payment.  This role reviews data related to unpaid claims and works to get issues related to non-paid services paid. This role works very closely with all clinical staff to ensure billing concerns are resolved. This role also ensures all payments received by all funders are correctly posted to each claim and client payments are collected.

Job Requirements

•    Billing and Coding certificate required.

•    High School Diploma or equivalent required; associates degree, technical college or some college coursework preferred.

•    An ability to effectively manage time, information, and meet deadlines.

•    Ability to work effectively both independently and with an interdisciplinary team.

•    A Minimum of 2 years' experience working with insurance authorizations, billings, and collections.

•    Advanced proficiency in Microsoft Excel is required. Experience with other MS Office products a plus.

Essential Functions

•    Process electronic claims and remittances.

•    Review and follow up on denied claims and aging claims for resolution and payment.

•    Work denied claims within 14 days of receipt.

•    Handle internal and external patient inquiries regarding balances and statements and collections.

•    Process appeals for all funders.

•    Maintain rolling AR aging at 85% for successive periods.

•    Post all 835 payments and client payments daily. 

•    Process client collections 

•    Process all billing batches daily

•    Review unbilled services to resolve issues daily

•    Develop Performance Goals and Expectations with immediate supervisor annually.

•    Always collaborate and maintain professional standards while conducting agency business.

•    Perform other related duties as assigned by the Supervisor.

KPI’s

•    Billing batches run daily 100% of the time

•    AR over 60 days at 12% or lower

•    Payments posted within 2 business days of receipt

•    Unbilled services reviewed and worked 3 days a week

Additional Functions

•    Contribute to a positive workplace culture that demonstrates evidence of high accountability, inclusivity, and collaboration. 

•    Demonstrate a commitment to anti-racist practices, diversity, equity, and inclusion in the workplace.

•    Actively support and encourage creating a safe, welcoming, and inclusive administrative and service delivery environments.

•    Adhere to best practices, ethical standards, and compliance with relevant laws and regulations. 

Physical Requirements

•    Ability to tolerate exposure to computer screens and operate computer/keyboard and other office equipment on a frequent and/or continuous basis.

•    Ability to receive and exchange information and accurately and effectively communicate and converse with others.

•    Ability to sit for extended periods of time.

Other

•    Must be able to provide clearance that there is no record and/or convictions as a perpetrator of child abuse and/or neglect in the State of Michigan Child Abuse/Neglect Central Registry.

Robust Health Care and Benefit Package including: 

• Medical 
• Vision and Dental Plan sponsored 100% by The Children’s Center
• Matching 3% 403(b) retirement plan after one year, fully vested after two years of employment 
• 80 hours of paid time off after 90 days, 120 hours of paid time off your first year, 160 hours your 2nd, 3rd and 4th year, 200 hours every year beginning your 5th year
• Accrued Paid Sick Time
• 11 paid holidays
• Life Insurance (Employer-Provided)
• Long Term Disability sponsored 100% by The Children’s Center
• Longevity Pay  
• Health Savings Account 
• Dependent Care Account
• Tuition reimbursement 
• Employee Assistance

Voluntary Benefits 

• Critical Illness
• Accident
• Voluntary Life, voluntary spouse and dependent life
•  Pet Insurance
•  Legal Shield (prepaid legal services)

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.