Behavioral Health Optimization/Reconciliation Analyst

Date: Aug 10, 2019

Location: Indianapolis, IN, US, 46202

Organization: HHC

Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, including severe mental illness and substance abuse. The Sandra Eskenazi Mental Health Center offers both inpatient and outpatient services, including several outreach centers as well as clinic- and community-based services.

Sandra Eskenazi Community Mental Health Centers, Indiana’s first community mental health center has a philosophy of care that stresses strength-based, community centered treatment that utilizes the recovery model and welcomes all patients from children to seniors. 

 

Sandra Eskenazi Community Mental Health Centers mission is to Advocate, Care, Teach and Serve, with special emphasis on the vulnerable populations of Marion County, Indiana. Midtown is comprised of several clinics, outreach centers and community based services whose primary mission is to serve individuals with serious mental illness and chronic addictions, as well as seriously emotionally disturbed children and their families.

 

Sandra Eskenazi Community Mental Health Centers is seeking a Behavioral Health Optimization/Reconciliation Analyst who will assist in the development, implementation, and training related to all DARMHA, Core Report, Professional Billing and MRO optimization and reconciliation tools to enable clinical leadership to monitor DARMHA, Core Report, Professional Billing and MRO usage  both timely and effectively. This position works collaboratively with The Director of Operations and Director of Clinical Services to ensure accurate and compliant data analysis for all Sandra Eskenazi Community Mental Health Center areas

 

 

A successful Behavioral Health Optimization/Reconciliation Analyst will:

  • Assists in the development, implementation, and training related to all DARHMA, Core Report, Professional Billing and MRO  optimization and reconciliation tools to enable clinical leadership to monitor and manage these  both timely and effectively
  • Independently creates reviews, updates data and reports from various sources including DARMHA, Medicaid, and other internal sources to validate and update data, including, but not limited to:
  • Missing diagnsis
  • Invalid RID (Medicaid Recipient ID#)
  • Incrrect or missing Medical Record # in DARMHA
  • Clients with/withut and MRO Package and any associated explanations
  • Missing/incrrect DOB (date of birth)
  • NOMS data in DARMHA
  • HAP Status
  • Missing/verdue assessment data
  • Multiple pen episodes
  • Other data/reprts as needed

 

  • Assists staff and supervisors with questions regarding clients MRO packages, eligibility, and billing when needed
  • Ensures follow-up occurs on a timely basis to support appropriate process, quality, and reimbursement
  • Designs custom reports and documentation; utilizing appropriate software application
  • Identifies and determines data trends and communicates this information on a routine basis to administrative staff, clinical managers and supervisors.
  • Collaborates with Eskenazi Health Epic Teams, Informatics Teams, and other data system teams to synthesize data collection, analysis, run reports and ensures.
  • Serves as a resource to the Senior Leadership of Midtown by assisting in special projects.  Such projects include, but are not limited to:
    • Develping project documentation and communication for each project assigned including, but not limited to, project charters, project plans, timelines and status reports.
    • Cordination and scheduling of resources in support of project implementation
    • Ensuring prjects adhere to the disciplines of risk, issue, communication and charge management
    • Wrking with inter-organizational resources to ensure project tasks are completed on schedule
    • Evaluating prject scope and requirements against stated objectives from stakeholders, ensuring that the project is scoped appropriately to meet objectives

 

 

 

The qualified candidate will:

 

  • Bachelor of Science Degree in healthcare, finance, business, or related field with 2 years’ experience in optimization, billing, reconciliation, or training in a healthcare setting.
  • In lieu of degree, 5 years’ experience directly related to optimization, billing, reconciliation, and training preferably in a healthcare setting.

 

 

Eskenazi Health offers comprehensive benefits including, tuition reimbursement, retirement plans through OneAmerica, various on-campus dining options, a free fitness gym, free employee wellness programs, sky farm access and more. Come and be a part of our PRIDE values!

Sandra Eskenazi Mental Health Center's primary mission is to serve individuals with serious mental illness and chronic addiction as well as seriously emotionally disturbed children and their families. Patients of all ages are welcomed, from children to seniors, with a philosophy of care that stresses strength-based and family- and community-centered treatment utilizing the Recovery Model of treatment.

 

 

 


Nearest Major Market: Indianapolis

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