Job Title :

Commercial Insurance and Data Entry Billing Specialist III

Department :

Revenue Cycle Management

Reports to : Supervisor RCM

Supervisor RCM

FLSA : Non-Exempt

Non-Exempt

Division

Location

Hybrid

Business Unit

Administrative Operations

Grade level

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 Commercial Insurance and Data Entry Specialist III ensures commercial funder provider enrollment is completed for all staff.

This role will also submit updated rosters to all commercial funders as required by funders. This role ensures all data collected for psychological testing is verified and entered into EHR timely.

This role will ensure all third-party insurance is always verified and updated in MISTICC. This role will also assist other RCM staff with client collections.

Job Requirements

• High school graduate or equivalent. Some college coursework preferred.
• 1-year previous data entry experience.
• 1 year experience with electronic health records.
• A minimum of 1 years’ experience in posting client payments.
• Ability to meet deadlines and effectively manage time.
• 1-year experience in commercial insurance enrollment
• Must possess excellent customer service skills with the ability to demonstrate it with a diverse population.

Essential Functions

• Verify commercial insurance daily as needed by programs.
• Manage commercial psychological testing verification and collection process.
• Update client demographic information in our EHR and verify client demographics.
• Apply for commercial funder enrollment as new eligible staff start with TCC.
• Ensure all follow up by staff is complete as related to the enrollment process for third party funders.
• Complete all Commercial funder rosters as required by plans.
• Process client collections daily.
• Process DWIHN psychological testing authorizations.
• Develop performance goals and expectations with immediate supervisor annually.

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 sit for extended periods of time.

Other

Must provide clearance that there is no record and / or convictions as a perpetrator of child abuse / and or neglect on the State of MI 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
• 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.

Last updated : 2024-05-23