Heritage Behavioral Health Center

Role Description Provide telehealth therapy and support services for adults experiencing mental health and/or substance use challenges. You'll be part of a collaborative, multidisciplinary team while delivering services remotely via secure platforms. Core Responsibilities - Provide individual, family, or group therapy via telehealth - Complete assessments, treatment planning, and ongoing documentation - Offer case management and community support, as needed - Assist clients in developing coping strategies, wellness routines, and supportive connections - Collaborate virtually with clinicians, nurses, healthcare providers, DCFS, law enforcement, and community partners - Participate in remote team meetings and clinical case staffings Qualifications - Master's degree in counseling and guidance, social work, vocational counseling, psychology, pastoral counseling, or family therapy is required - Must have the education/experience to function as a QMHP (Qualified Mental Health Professional), with the ability to obtain Illinois certification or Illinois licensure within 2 years - Ability to function as an LPHA (with credentials as an LCPC or LCSW), and previous experience working with target populations, is preferred Requirements - Fully Remote – Serving Individuals Across Illinois - Salary Range: $60,000 – $68,000 Annually Benefits - Competitive Salary (state & national level) - Incredible Time Off Package – Full-time staff receive every other Friday off, paid, for wellness - Comprehensive Benefits – Affordable health, dental, vision, EAP, life insurance, short-term disability, retirement plans, and more - Continuing Education & Loan Repayment – CEU opportunities, tuition assistance, and access to National Health Service Corps Loan Forgiveness programs - Wellness Days Every Other Friday – Fully Paid - Partial Fitness Reimbursement, Tuition Assistance & CEU Support - Health, Dental, Vision & Optional Insurance Plans - Retirement Contributions (401k & Roth) - Eligibility for Federal Student Loan Forgiveness (NHSC Site)

Role Description The Accounts Receivable (AR) & Denial Specialist is responsible for managing and resolving outstanding accounts receivable and claim denials for healthcare services provided in the State of Illinois. This role supports reimbursement across commercial payors, Medicare, Illinois Medicaid Managed Care plans, fee-for-service (FFS), and grant-funded programs, ensuring timely follow-up, accurate appeals, and compliance with applicable state and federal requirements. Essential Duties and Responsibilities - Accounts Receivable Management - Monitor and work AR aging reports for Illinois-based claims across commercial, Medicare, managed care, FFS, and grant-funded programs. - Perform timely follow-up on unpaid, underpaid, or delayed claims in accordance with Illinois and payor-specific timely filing guidelines. - Review and reconcile payments, adjustments, and remittance advice (EOBs/ERAs). - Accurately document all AR activity and payor communications in billing and financial systems. - Denial Management & Appeals - Review, analyze, and resolve claim denials and rejections from commercial payors, Medicare, and Illinois Medicaid Managed Care Organizations. - Identify root causes of denials, including eligibility, authorization, coding, documentation, timely filing, and contract-related issues. - Prepare and submit corrected claims, reconsiderations, and appeals within required timelines. - Track appeal outcomes and escalate unresolved or complex denials as appropriate. - Identify denial trends and provide feedback to billing, coding, and operational teams to reduce future denials. - Managed Care, FFS & Grant Support - Work AR and denials related to Illinois Medicaid managed care plans and fee-for-service claims. - Track and reconcile grant-funded billing and reimbursement activity in accordance with grant requirements. - Support documentation requests, audits, and reviews related to grant reimbursements. - Compliance & Reporting - Ensure AR and denial activities comply with CMS, Medicare, Illinois HFS, managed care, and commercial payor requirements. - Maintain documentation to support internal audits, external audits, and compliance reviews. - Assist with AR, denial, and collection reporting as requested. - Collaboration & Communication - Communicate with payor representatives, managed care plans, and internal teams to resolve claim issues. - Collaborate with billing, coding, credentialing, and clinical teams to support accurate reimbursement. - Provide clear, professional communication regarding claim status and resolution. Qualifications - High school diploma or equivalent required; Associate’s degree preferred. - 1–3 years of experience in healthcare accounts receivable, billing, or denial management. - Experience working with Illinois commercial payors, Medicare, and/or Illinois Medicaid Managed Care. - Knowledge of timely filing requirements and appeal processes. - Proficiency with billing systems, clearinghouses, and payor portals. - Strong attention to detail and organizational skills. Preferred Qualifications - Experience working with Illinois Medicaid (HFS) and managed care plans (e.g., Aetna Better Health, Meridian, Molina, BCBS Community). - Knowledge of CPT, HCPCS, and ICD-10 coding. - Experience with grant-funded billing and reimbursement.