Clinical Support Manager- *Internal Only* #8841

We make a difference - in your community and your career

Clinical Support Manager- *Internal Only*

This posting is for internal employees only at this time, please see other positions on our job career site for any external roles you may be interested in.

The primary responsibility of the Clinical Support Manager is ensuring organizational effectiveness by providing leadership to the clinical and administrative components of the MCI/CCS/Respite teams regarding all matters related to billing, insurance, and encounter forms. The focus is to improve the operational systems, processes, and practices in support of the programs’ goal to maximize revenue and achieve better reporting, information flow and management, business process and organizational planning. The Clinical Support Manager works within the MCI and CCS components of the CBHC to ensure that all insurance information is entered into the EHR correctly and that billing is completed appropriately and in a timely manner. Additional responsibilities include coordinating with Third Party on Insurance Verifications, obtaining and tracking treatment authorizations (when applicable), overseeing clients’ self-pay accounts, and updating the third-party billing office of eligibility changes. The Clinical Support Manager also runs reports, including held claims and unbilled services reports weekly and oversees the rectification of any errors with the MCI/CCS leadership.  Performs other front office support tasks as needed.

This vital role of CSM will also be responsible for:

• Verifies insurance coverage for new clients referred to the program and sends insurance eligibility information to the Billing Department.
• Generates daily utilization reports and other ad-hoc reporting necessary to ensure operational efficiencies including daily encounter count data.
• Tracks and follows up on insurance authorizations working with clinical staff to assure that necessary paperwork is submitted in a timely manner to extend treatment authorizations.
• Processes changes in clients’ insurance eligibility by updating the Billing Department of changes and obtaining new authorizations for treatment as needed.
• Works with clients, administrative staff, and clinical staff to resolve issues in clients’ self-pay accounts. Assists clients to complete or amend financial agreements and payments plans.
• Answers telephones, screens and directs calls to the appropriate individuals.
• Completes all required administrative documentation in a timely fashion and maintains consumer record files in accordance with quality assurance standards.

Schedule: Full Time

Pay: $26.44/ hour

Why You'll Love Riverside
We make a true difference in people’s lives through rewarding work. Most of our jobs come with great benefits – including healthcare, numerous professional development opportunities, and generous time off - all in a respectful and inclusive environment, perhaps why Forbes named Riverside a best-in-state employer.

Benefits include:

• Comprehensive, high-quality health, dental, and vision insurance options
• Flexible Spending Accounts – both medical and dependent care
• Eleven paid holidays
• Separate accruals for vacation (increases with tenure), personal, and sick time
• Tax-deferred 403(b) retirement savings plan
• Employee Assistance Plan / Travel Assistance Plan
• Employee bonus for referrals resulting in hiring
• Discounts to movie theaters, sporting, and entertainment events
• Employee YMCA discount: 10% off a YMCA monthly membership and 50% off the joiner’s fee

Learn more about our benefits and culture:

Our Benefits

Our Culture

Hear what employees think about working for Riverside!

• Familiarity with Electronic Health Records preferred.
• Excellent communication, interpersonal and organizational skills required.
• Intermediate computer fluency, including Microsoft Office, required.

• Bachelor’s Degree required; Master’s degree preferred
• One year experience in administrative and/or billing experience preferred.

Riverside Community Care is dedicated to respect, integrity and engagement of all individuals. We are committed to building an inclusive and culturally competent organization and we value the richness of having a diverse applicant pool. As an employer committed to equal opportunity, all qualified applicants will receive consideration for employment without regard to race, age, color, religion, gender, marital status, sexual orientation, military status, national origin, disability, or any other characteristic as established by law.