Mgr, DCS Reimbursement

Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!

JOB DESCRIPTION:

SUMMARY OF POSITION

Coordinates the daily activity of the DCS Reimbursement Specialists. Oversees all DCS referral data entry for the organization. Monitors the organizations centralized referral email account as well as the DCS Kids track portal for communications and updates and responds appropriately as needed. Analyzes DCS data, reviews billing failures and addresses issues.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Reviews the daily DCS no authorization reports and works to resolve the issues. This includes future scheduled appointments with lapsing authorizations. Must maintain a working knowledge of the DCS contractual agreement.

• Generates monthly referral reporting processes.

• Reviews service and billing failures as they relate to a DCS service. Works to resolve any issues.

• Reviews the billing adjustments and troubleshoots ways to decrease them in the future.

• Works with IT to come up with ways to make our system work more efficient.

• Reports weekly status updates of the progress of the team workload and assignments.

• Analyzes overall DCS data.

Supervises Duties:

• Coordinates the daily activities of the DCS Reimbursement Specialists.

• Ensures compliance with annual completion of Relias training as required.

• Coordinates extra activities during contract years or when DCS makes changes.

KNOWLEDGE, SKILLS & ABILITIES

• Effectively communicate via written, verbal, in person and virtual methods.

QUALIFICATIONS

Education Level

High School Diploma or GED

Years of Experience

Five years of experience

Required Certification/Licensure

N/A

Time Type:

Pay Range:

Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:

• Medical, dental, and vision health coverage
• Flexible Spending and Health Savings Accounts
• 403b retirement plan with company match
• Paid time off and ten paid holidays
• AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
• Employee Resource Groups
• Continuing education opportunities
• Employee Assistance Program

Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. Centerstone does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), or any other basis protected by law.

At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our Culture.

Our approach to culture is to create an environment that encourages, supports and celebrates the voices and experiences of our employees. We are committed to a culture of empowerment, respect, integrity and expertise that powers our innovation and connects us to each other, our clients and the communities we serve.

Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.