Qureos Mentor

Clarity Clinic

<div>Job Description

Job Title: Reimbursement Posting Manager

Position Type: Full-time

Department: Billing

Reports to: Vice President of Reimbursement

FLSA Status: Exempt

Compensation Range/Base Pay: $62,000.00 - $85,000.00

Summary:

Clarity Clinic is an interdisciplinary group private practice of Psychiatrists, Psychiatric Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists. Our mission is to thoughtfully guide the whole person on their journey to find clarity and mental wellness by providing exceptional holistic care.

Our staff of Psychiatrists, Advanced Practice Providers and Psychotherapists offer the latest medication, psychological assessment, and therapy treatment as we help guide our patients toward mental wellness and a balanced personal and professional lifestyle. Our team offers a broad range of specialties, services, and orientations to support and help all people regardless of their place in life. This multidisciplinary approach allows us to provide holistic care in psychiatry, psychotherapy, and much more.

The Reimbursement Posting Manager position is responsible for providing direct oversight of staff and review of payments received for services rendered by Clarity Clinic. This position will support the day-to-day processes and initiatives of the cash applications department and represent the employment brand of Clarity Clinic.

Duties/Responsibilities:
<ul>
<li>Manage all processes, procedures, and staff in the Cash Application department.</li>
</ul><ul><li>Audits team members' work for accuracy and efficiency based on performance standards.</li>
</ul><ul><li>Responsible for creating, maintaining, and balancing the monthly cash log,</li>
</ul><ul><li>Manage and post patient payments, insurance payments, and contractual adjustments timely and accurately as needed,</li>
</ul><ul><li>Responsible for retrieving, posting, and reconciling BCBS UPP payments associated with IOP/PHP claims, ensuring accuracy and timely allocation of payments and adjustments.</li>
</ul><ul><li>Manage the resolution of credit balances and refunds timely and accurately.</li>
</ul><ul><li>Responsible for performing and depositing patient and insurance checks received from the clinical sites and corporate office, if applicable.</li>
</ul><ul><li>Responsible for distributing all correspondence and $0 pay EOBs to the reimbursement department for prompt resolution.</li>
</ul><ul><li>Responsible for managing the reconciliation/balancing of cash posted against daily deposits/bank statements and the cash log.</li>
</ul><ul><li>Responsible for monthly production deadlines and oversight of the monthly account close, resulting in timely delivery of accurate revenue data to Finance within established time frames.</li>
</ul><ul><li>Responsible for the set up and management of all eligible insurance and technology vendors to automate and increase productivity within the department (ERA/EFT set up, payer website access etc..).</li>
</ul><ul><li>Act as a liaison between the Cash Applications and Accounting, Reimbursement Department and Operations to resolve escalated patient account inquiries and discrepancies related to payments allocation.</li>
</ul><ul><li>Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare, Medicaid, and Commercial insurances</li>
</ul><ul><li>Maximize utilization of all available resources while maintaining high levels of quality and customer satisfaction.</li>
</ul><ul><li>Ensure changes to regulatory, legal, compliance, and audit standards are documented, communicated, and implemented in daily operations along with meeting all compliance and audit requirements for cash posting and credit balances.</li>
</ul><ul><li>Assist and manage the recruitment, selection, training, orientation, coaching, disciplinary and performance appraisals of appropriate staff members to ensure operational objectives are met.</li>
</ul><ul><li>Review and manage reports to identify trends, analyze data, and escalate where appropriate to improve performance and meet targeted goals.</li>
</ul><ul><li>Recommend, develop, and implement guidelines, policies, procedures, and processes to ensure timely, accurate and compliant credit balances and cash posting.</li>
</ul><ul><li>Maintains effective working relationships with physicians, administration, patients, and other staff members.</li>
</ul><ul><li>Maintains strict confidentiality regarding patient and practice information.</li>
</ul><ul><li>Evolve the department through process improvement initiatives.</li>
</ul><ul><li>Have the ability to prioritize and handle multiple deadlines.</li>
</ul><ul><li>Performs other duties and tasks assigned.</li>
</ul><ul><li>Maintains the strictest confidentiality according to the guidelines of company policies.</li>
</ul><ul><li>Stays abreast of and complies with all state and federal laws including HIPAA, ADA, OSHA, and FLSA.</li>
</ul><ul><li>Attend meetings as required.</li>
</ul><ul><li>Participates in development and training activities as required by management.</li>
</ul><ul><li>Adapt to change in a positive and professional manner.</li></ul> 


Minimum Requirements:
<ul>
<li>Bachelor's degree in accounting/finance preferred but not required</li>
</ul><ul><li>CPA or Advanced Degree is preferred but not required</li>
</ul><ul><li>Previous Cash Applications experience required</li>
</ul><ul><li>Proven track record in accounting of 4+ years</li>
</ul><ul><li>Experience in high volume &amp; fast paced environment required</li>
</ul><ul><li>Experience with previous leadership role is required</li>
</ul><ul><li>Previous experience with accounting ERP systems is required</li>
</ul><ul><li>Ability to demonstrate competency to improve process</li></ul> 


Role Competencies:
<ul>
<li>Posts Reimbursement- Posts reimbursement related transactions accurately.</li>
</ul><ul><li>Assigns Daily Workload- Retrieves &amp; assigns daily workload (ERA, Lockbox, &amp; Correspondence batches) to team members.</li>
</ul><ul><li>Reconciles Records- Reconciles and keeps accurate record of monthly cash log totals &amp; payer trends.</li>
</ul><ul><li>Credit Card Chargebacks- Meets the deadline for appealing credit card chargebacks.</li>
</ul><ul><li>Manage Reimbursements- Effectively manages and posts all assigned reimbursement related transactions in a timely manner.</li>
</ul><ul><li>Manage Payments- Manages &amp; posts undisbursed payments timely.</li>
</ul><ul><li>Motivation- Motivating an employee to be successful in their role.</li>
</ul><ul><li>Payment Batches- Payment batches are closed daily after transactions have been reconciled.</li>
</ul><ul><li>Month End- Oversees the timely completion of month end close.</li>
</ul><ul><li>Insurance Contracts- Has a strong knowledge of insurance contracts &amp; payment policies.</li>
</ul><ul><li>Analyze Data- Ability to identify trends, analyze data and present effectively on discrepancies and/or findings.</li>
</ul><ul><li>Investigate Postings- Ability to assist and investigate posting related issues &amp; errors.</li>
</ul><ul><li>Delegate Tasks- Able to delegate tasks and effectively build a strong and cohesive team.</li></ul> 


Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to talk or hear or effectively communicate with others. The employee is frequently required to stand; walk; sit and use a keyboard. The employee must occasionally lift and/or move up to 25 pounds. 


Other duties

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

We celebrate diversity when it comes to all backgrounds and identities, and we encourage applications from minorities, LGBTQ+ individuals, candidates of all ages, and nontraditional backgrounds.

Clarity Clinic an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</div>

Reimbursement Posting Manager

<div>Founded in 2015, Clarity Clinic stands at the forefront of mental health and wellness, offering innovative and compassionate care. Our mission is to provide the best quality in mental health care and make holistic care easily accessible and seamless to our patients.

We are searching for a passionate LCSW Clinical Supervisor to join our team of highly skilled clinicians at our River North location. Our staff of Psychiatrists, Physician Assistants and Psychotherapists offer the latest medication and therapy treatment, as we help guide our clients towards mental wellness.

Clarity offers administrative, billing and marketing support so that our clinicians have a consistent caseload, ensuring our providers are focused on their greatest priority...helping their clients move forward in life! We are partnered with the following In-Network Insurance providers: Cigna, Aetna, Blue Cross Blue Shield PPO, United Healthcare and we accept self-pay clients.

Location: 1 E Superior St #306, Chicago, IL 60611

In this role, you will:
<ul>
<li>Manage an individual caseload of a minimum of 20 attended client sessions per week while providing weekly supervision to a maximum of four (4) supervisees and support supervisees in facilitating and documenting proper assessments, recommendations, and referrals, if needed</li>
<li>Review and sign supervisees notes ensuring proper documentation and billing is facilitated.</li>
<li>Approve biweekly clinical hours recorded by therapy team, time off requests, and other requests that may be submitted.</li>
<li>Assess, diagnose, and treat a variety of mental health conditions through individual, couples, family, and/or group therapy that is evidence-based and clinically appropriate.</li>
<li>Participate in CEU and Didactic training program to facilitate growth and mastery of skill set in an identified area of specialty.</li>
<li>Participate in supplemental services and program development opportunities in the clinic, including but not limited to group therapy, blog writing, additional training opportunities.</li>
<li>Collaborate with a multi-disciplinary team that includes psychiatrists, physician assistants, social workers, professional counselors, and other mental health professionals.</li>
<li>Manage and organize individual schedule utilizing electronic scheduler provided.</li>
<li>Attend and participate in individual/group supervision and all required department meetings.</li>
<li>Participate in internal and external marketing and networking meetings.</li>
<li>Complete required onboarding trainings and other additional trainings that are deemed necessary for new hires.</li>
</ul>
Perks and Benefits:
<ul>
<li>Compensation: $60-$65/per hour commensurate to years of experience plus bonus potential and leadership pay (stipend) for each supervisee supervised.</li>
<li>Full Time includes benefits package.</li>
<li>Full comprehensive benefits package including health, dental, vision, EAP services and more.</li>
<li>PTO and wellness/ sick day accrual.</li>
<li>$100.00 Monthly wellness stipend reimbursement - to prioritize your own wellness routine!</li>
<li>401k match up to 4%.</li>
<li>Professional Development Stipend</li>
<li>Flexible scheduling: Work/life balance (we encourage you to build a manageable caseload)..</li>
<li>Access to continuing education credits.</li>
</ul>
Qualifications &amp; Minimum Requirements:
<ul>
<li>A minimum of 2 years of supervisory experience in a clinical setting preferred.</li>
<li>License to practice independently in the state of Ilinois: LCSW - Required</li>
<li>Master of Social Work (MSW) degree or higher from a program accredited by the Council on Social Work Education (CSWE) - Required.</li>
</ul>
Experience with any/all the following treatment modalities and programs is beneficial:
<ul>
<li>Individual &amp; Family-focused therapy</li>
<li>CBT | DBT | ACT</li>
<li>EMDR</li>
<li>Health psychology (chronic health issues or pain management)</li>
<li>CADC</li>
<li>Marriage and Family Therapy</li>
<li>IOP/PHP programs</li>
<li>Group Therapy</li>
</ul>
We celebrate diversity when it comes to all backgrounds and identities, and we encourage applications from minorities, LGBTQ+ individuals, therapists of all ages, and clinicians with nontraditional backgrounds. Specialties such as addictions, couples, EMDR certification, and spiritually based therapists are also valued.

Please stay alert to protect yourself from sophisticated job scams during the recruiting process. Only emails that come from claritychi.com are legitimate recruiting messages. Our HR Team will not send emails from other domains, or message you using WhatsApp or text messaging. We conduct all interviews by phone or video, and we will never ask you for money or to download software either during the interview process, credentialing or during our onboarding process.

More tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html</div>

LCSW Clinical Supervisor - River North

Join Clarity Clinic and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Clarity Clinic

ABOUT_COMPANY

Reimbursement Posting Manager

LCSW Clinical Supervisor - River North