Benefits Supervisor jobs in Abilene, TX

At MHMR Concho Valley, our mission is “Working together to help people help themselves.”

If you are serious about making a difference, we guarantee you’ll love being a part of the MHMR Concho Valley.

The Patients Account / Benefits Supervisor is responsible for supervising a small team of paraprofessionals. The Patient Accounts /Benefits Supervisor contributes to the development of processes and procedures to enhance revenue production. The Patient Accounts /Benefits Supervisor will be responsible for monitoring financials being completed, ensuring complete continuity of accuracy, staff productivity, and efficiency in the flow of accounts. The supervisor will work closely with the billing staff to ensure patient accounts are updated as necessary to reflect insurance changes and will assist the billing staff with any reimbursement issues. The Patient Accounts/Benefits Supervisor will also perform claims processing and reimbursement tasks. Which include but are not limited to determining eligibility, rates, maintenance of accounts and collection of charges for the support, maintenance and treatment furnished to clients and/or persons responsible for clients. Performs other duties required as the Medicaid Administrative Claiming Coordinator. (Medicaid Administrative Claiming duties are supervised by the Chief Financial Officer.) Other duties include conducting financial consumer assessments; assembly and filing of information required by the Social Security application; monitoring Social Security applications and appeals process; maintaining close follow-up with consumers’ Social Security Administration; and other involved service providers as necessary.

The Patient Accounts /Benefits Supervisor ensures that Audit Files are established,  current, and maintained by conducting periodic audits. The supervisor will also be responsible for developing guidelines for establishing and maintaining supporting documentation and agency-wide Audit Files that are consistent with procedures outlined by TDMHMR. Other duties include but are not limited to:

• Reviews patient's chart for necessary documents for claims processing.
• Reviews client data system set-up for accurate patient insurance coverage information.
• Assists patients and/or person legally responsible for patient with establishing an approved payment schedule.
• Sends correspondence and communicates verbally with patients and/or person legally responsible for patient information necessary to collect payment or notice of rate change.
• Contacts third party private insurance carriers to determine the Center's provider status as a network or non-network. Ensures that carrier will cover services and/or treatment prior to service and/or treatment being provided. Obtains authorizations as needed.
• Receives and reviews past due bills and follow-up documents; contacts patients and/or third-party payer organizations to secure payments or arrange alternative settlement plans; identifies problem delinquencies and recommends their disposition; prepares and maintains collection-related records.
• Discusses financial matters concerning balances offering financial arrangements to patients upon admission, as well as outstanding balances upon discharge.
• Assist CFO in policy & procedure maintenance to ensure MHMR is adaptable to changes as determined by various funding sources and requirements such as Charity Care.

The Patient Accounts /Benefits Supervisor will be responsible for staff training and productivity as follows:

• Responsible for identifying training needs among staff and contractors.
• Ensures that training is provided to maintain compliance with the procedures established in the current Medicaid Administrative Claiming Guide.
• Encourages interdepartmental coordination and cooperation to improve program efficiency and effectiveness.
• Responsible for disseminating policy or program information to all programs and contractors participating in MAC.
• Clarifies policy, program or fiscal questions raised by staff or contractors; refers any requests for assistance to further clarification to TDMHMR.

EDUCATION, TRAINING, & EXPERIENCE

• Bilingual (Spanish/English) preferred.
• Familiarity with claims processing and health related account and collection work.
• Graduation from a standard senior high school or equivalent required, supplemented by courses in business administration is preferred.
• Experience and education may be substituted for one another.
• Two years of management experience preferred.
• Prior experience in assisting individuals with mental health and/or mental retardation disabilities obtain SSI, Medicaid, Food Stamps, and in consumer eligibility assessment is preferred.

ESSENTIAL TASKS

• Demonstrates working knowledge of medical billings, third party reimbursement, Blue Cross, Medicare, Medicaid and commercial insurance coverage required; effective interpersonal and verbal communication skills to interact with providers, patients and insurance companies; displays basic knowledge of insurance verification processes; problem solving; organizational and time management skills; customer service oriented; skills in maintaining information as highly confidential, and strong computer skills.

POLICIES AND COMMUNITY STANDARDS

• Complies with all MHMR Services for the Concho Valley Policies and Procedures.
• Complies with all HHSC Mental Health Community Standards.
• Works effectively with all service providers to ensure quality services.
• Communicates problems with supervisor as needed.
• Works effectively with all staff, assisting them as needed.
• Always maintains appropriate and professional relationship with Center staff.
• Effectively follows instructions.
• Must be flexible and willing to be mobile.
• Must have transportation to be able to go to other locations throughout the day.

REQUIREMENTS

• Valid Texas Driver License required.
• Must not have more than 3 moving violations in the last 3 years.
• Must be insurable on the Center’s insurance.
• Must be able to pass a background check.
• Candidate must obtain HHSC Social Security Benefits Certification within 6 months of hire.

SALARY

DOE – Depends on Experience.

SHIFT HOURS

Monday through Friday, 8:00 a.m. – 5:00 p.m.

BENEFITS

We offer competitive salary and comprehensive benefit package including medical, dental, and life insurance, retirement and 457 plan, other voluntary benefits, vacation, employee choice days, sick time off and holidays. https://mhmrcv.org/wp-content/uploads/2022/12/Employee-Benefits-Sheet-01-2023.pdf

APPLICATION PROCEDURES

All applicants applying for positions at MHMRCV, please select "Apply On Company Site", then follow the steps and attach resume. 

CLOSING DATE

Open until filled. 

 For questions, please email Jobs@mhmrcv.org.

Convictions related to any sexual assault, aggravated assault, drug related offense, murder, theft, battery, or any other crime involving personal injury; injury to a child, elderly individual, disabled individual, or threat to another person; abandoning or endangering a child; and aiding suicide, may make you ineligible for employment in positions, in direct contact with consumers of MHMR Services for the Concho Valley. The names of all prospective employees are cleared through the Texas Department of Public Safety to determine the existence of such records. Falsification of the application for employment is grounds for dismissal. Ask the personnel office for further information. For insurance purposes, driving records will be checked on all employees that are required to drive as stated in their position description. If an employee is determined to be uninsurable, employment may be dismissed.

MHMR Concho Valley is a trauma informed organization dedicated to creating and maintaining a safe, calm, and secure environment with supportive care, a system-wide understanding of trauma prevalence and impact, recovery and trauma specific services, and recovery-focused, consumer-driven services that applies to all staff, volunteers, contracted providers, and community partners.  MHMR Concho Valley has made an implicit commitment to prevent and reduce suicide deaths among individuals served by the Center through applying the elements of safer suicide care outlined the Zero Suicide Framework (lead, train, identify, engage, treat, transition, improve).   

EQUAL OPPORTUNITY EMPLOYER