Job Summary: The Behavioral Health Program Specialist oversees the scheduling and charges associated with the Behavioral Health visits in the Chestertown Medical Center. In addition, the Behavioral Health Program Specialist performs case management duties for Behavioral Health patients at the direction of the Behavioral Health providers.

Required Skills/Abilities:

• Working knowledge of automated patient data systems.
• Must be proficient in computer skills.
• Must have basic math skills.
• Ability to use office equipment such as computers, printers, telephones, fax machines and copier machines.
• Ability to handle multiple priorities at once with minimal supervision.
• Working knowledge of ICD10 and CPT codes

Education and Experience:

• High School Diploma or equivalent
• 3-5 years in healthcare related field required.
• Insurance billing experience helpful.
• Knowledge of basic medical terminology preferred.

Core Values:

• Commitment To Service
• Respect
• Quality
• Teamwork
• Patient Focus
• Integrity
• Accountability
• Caring & Compassion
• Professionalism
• Listening & Responding
• Safety
• AIDET

Job Related Competencies:

• Empathetic Outlook- The ability to perceive and understand the feelings and attitudes of others; the ability to place oneself “in the shoes” of another and to view a situation from their perspective.
• Attention to Detail- The ability to process detailed information effectively and consistently.
• Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.
• Communicates Effectively- Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences.
• Values And Ethics- Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.
• Time Management- The ability to effectively manage one’s time and resources to ensure that work is completed efficiently.

Duties/Responsibilities:

• Models AIDET in all patient interactions.
• Adheres to and models CCHS Standards of Behavior
• Responsible for the input of the patient charge entry and coding process for all BH sites
• Works with all areas and levels within the organization to collect any necessary information related to charge posting.
• Obtains insurance authorizations when required
• Reviews insurance denials: implement procedures to remedy or reduce the number of denials.
• Works cooperatively / cohesively with the BH Director to resolve issues or identified charge posting process.
• Works cohesively with BH Director and EHR Optimization Director to identify issues related to provider charges.
• Pre-registration, appointment confirmation, scheduling BH follow up appointments including group visits.
• Post charges to the practice management system.
• Verifies insurance information, assists with enrollment in sliding fee and other benefit products.
• Opens and distributes mail.
• Scans patient related documents to electronic medical record.
• Completes patient referrals.
• Case management for behavioral health patients to connect BH patients to community programs at the direction of the BH provider.
• Coordination of care between the medical, dental, and behavioral health staff.
• Regular, reliable attendance is a requirement of this job.