Clinical Support Specialist
About The Position
The Clinical Support Specialist role is a full-time position within the Behavioral Health Services Clinic at Advocate Christ Medical Center. This role focuses on providing essential support to clinicians by managing patient registrations, handling insurance eligibility and benefits, processing managed care authorizations, and performing data entry for group billing. The specialist will also be responsible for auditing clinical documentation, clearing open clinical transactions, creating transactions for treatment plan reviews, and maintaining accounts receivable for patient fees. Additionally, the role involves responding to requests for medical records and filing documentation. The position requires strong communication and PC skills, with the ability to work under stressful conditions and in difficult situations. The schedule is Monday-Friday, 8:30 am to 5:00 pm, and the role is onsite.
Requirements
- 2 years clerical experience
- High school diploma or equivalent
- Basic PC skills
- Excellent communication skills
- Ability to work under stressful conditions and in difficult situations
- Ability to work with a keyboard
Nice To Haves
- Ability to work evenings and Saturdays
- Lightweight lifting, bending, stooping or sitting in a confined position.
Responsibilities
- Review client registrations for completeness, check insurance eligibility and benefits, and update insurance coverage and schedule registration in six-month intervals.
- Handle managed care authorizations by performing non-clinical functions, including entering and maintaining authorizations in data management software and hard copy charts, managing OTR requests, copying material, faxing, tracking receipts, and returns.
- Perform data entry for group billing.
- Audit batch handling error logs, scheduled/show appointments, and intake documentation for designated clinicians, providing feedback to clinicians and program managers.
- Ensure all open clinical transactions are cleared by the end of the month.
- Create clinical transactions for treatment plan reviews at the time of intake.
- Maintain AR for all patient fees and provide feedback to designated clinicians.
- Reply to requests for medical records, photocopy ADR documentation when requested, pull closed charts as requested, and file any other documentation in charts.
- Collect insurance and demographic data during patient registration.
- Explain Center policies regarding fee-setting procedures, confidentiality, and patient rights.
- Establish fees using Center policies and guidelines.
- Explain third-party billing procedures to patients and obtain necessary documentation.
- Greet and respond to requests from patients at the front desk and via telephone.
- Schedule appointments for patients.
- Collect fees for services rendered and issue receipts to patients.
- Contact clinical staff, psychiatrists, or managers as needed or requested.
- Attend scheduled staff meetings with supervisor and manager.
- Attend in-service training as scheduled by supervisor or manager.
Benefits
- Comprehensive suite of Total Rewards
- Benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
