RADIAS Health

Customer Support

• Maintain an updated billing and benefit changes for all patients and third-party insurance carriers.
• Prepare and process clean claims to various insurance companies for various patient insurances, including specific restrictions or groups.
• Assist in auditing, error correction, and preparation of behavioral health billing in RADIAS Health's current electronic health record software.
• Process and reconcile payments and overpayments from various insurance companies.
• Report and maintain accurate documentation of company revenue for assigned programs.
• Review and follow-up on denied claims, resubmitting claims to third party payers and advocate for payment.
• Prepare and request paperwork for prior authorizations for services provided.
• Prepare, review and send patient billing statements.
• Performs various collection actions including contacting patients by phone and mailing out invoices.
• Maintain competencies in software and websites for the agency's current electronic health record, state provider portals, and insurance provider portals.
• Considers patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
• Working knowledge of RADIAS Health programs
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
• Complete all paperwork, reports, and charting contemporaneously and in an organized manner.
• Participate actively in on-going professional growth and development; maintain appropriate professional behavior and participate in appropriate supervision
• Participate in administrative staff meetings and attend other meetings and seminars.
• Maintain a pattern of regular work hours to meet program needs as determined by the Program Manager.
• Other duties as assigned

Billing Support Specialist

Accounts Receivable

• Provide critical support in RADIAS Health’s mission by ensuring timely, accurate reimbursement for services.
• Responsible for collections and reconciliation of accounts across various pay providers including State, County, and 3rd Party providers.
• Requires strong technical billing knowledge, attention to detail, and the ability to manage collections in a manner aligned with RADIAS Health’s values of dignity, respect, and person‑centered care.

Accounts Receivable and Collections Specialist

Manager

• Develop and implement the treatment plan that is based on the diagnostic and functional assessment which is approved by the clinical supervisor.
• Assume with other members of Team responsibility for assuring compliance with Minnesota Rule Chapter 9520. Provide or ensure access to needed and eligible medical, vocational, social, educational, financial, legal, and housing and chemical dependency services.
• Develop an Individual Community Support Plan for each client every 6 months.
• Schedule face to face visits as dictated by the ICSP.
• Make appropriate / culturally sensitive referrals and assist clients in gaining access to needed services.
• Participate in the commitment process as mandated: provide testimony in probate court, write all required court reports, monitor stayed warrants and provisional discharge agreements and assist pre-petition screening process as necessary.
• File all legally required reports with Vulnerable Adults, the Ombudsman and Child Protection.
• Assume with other members of team responsibility for providing the services necessary to maintain and enhance each client’s ability to live as independently as possible.
• Develop an individualized emergency support plan coordinated with community emergency support services.
• Assist client with housing issues and interface with HRA and PHA staff as well as landlords.
• Attend scheduled quarterly reviews and treatment planning meetings.
• Collaborate with, support and provide education to family members and others interested in the client’s treatment and welfare when warranted.
• Provide education to clients regarding the symptoms, course and treatment of their illness.
• Provide team and agency coverage of client needs.
• Develop appropriate therapeutic relationship with clients.
• Complete all paperwork, reports, and charting contemporaneously and in an organized manner.
• Participate actively in on-going professional growth and development, maintain appropriate professional behavior, and participate in appropriate supervision.
• Transport clients in the community to various appointment

Case Manager

• Clinical supervision of all staff, including discussion of daily activities with clients, coaching staff in clinical interventions, crisis management, and responding to unexpected events that occur in the office or in the community.
• Administrative supervision of all staff, including performance evaluations, growth and development plans, and discipline.
• Ensure compliance with all documentation requirements for the services such as timelines and quality.
• Review and approve all required documents in the client’s chart in a timely manner.
• Ensure timely filing of all court documents related to civil commitment.
• Hiring of all positions in concert with Human Resources. Complete orientation and training with newly hired staff.
• Coordinate staff coverage to maintain a high service standard for client care.
• Document supervision and performance concerns for staff. Document supervision in the client chart as clinically appropriate and at least annually.
• Develop and ensure completion and compliance of all mandated training. Identify and/or conduct any necessary individual training for direct reports.
• Complete all paperwork, reports, and charting within expected timelines and in an organized manner.
• Submit and approve all expenditures and mileage in the approved agency platform in a timely manner.
• Participate in required county meetings and bring appropriate information back to teams.
• Participate in internal leadership meetings and bring appropriate information back to teams.
• With support of the director, develop, implement, maintain and update all policies and procedures in regard to areas of accountability to ensure compliance with all regulatory agencies.
• Provide consultation and training to all program staff regarding implementation of structures, changes in procedures, and development of interventions, pertaining to the program.
• Evaluation and data collection regarding TCM services and client statistics for reporting purposes to the County, insurance companies, or DHS.
• Networking with other agencies and managers regarding systemic issues.
• Advocacy with medical providers, family members, and other service providers to maintain a high quality of service for our clients.
• Completion of program audits as required (client chart audits, staff schedules, trainings, etc.).
• Implement corrective action from regulatory agencies as required.
• Investigate and report suspected incidents of abuse and neglect.
• Serve on work-related community service committees, advisory boards, etc.
• Functions and acts within the scope of established rules, regulations and legal standards, but is expected to function independent of direct supervision.
• Maintain a pattern of regular work hours.
• Other duties as assigned.

Billing Support Specialist

Accounts Receivable and Collections Specialist

Case Manager

Licensed TCM Manager