• Obtain insurance information • Complete referral forms • Counsel patients on financial assistance over the phone or by email • Schedule and coordinate patient appointments over the phone or by email • Communicate with physicians and clinical staff to assist with scheduling urgent or referred patient scheduling calls/requests • Review schedule for new patients, updating when necessary • Cover patient incoming clinic calls as needed • Perform daily edits and changes to provider scheduling templates • Address in-basket messages, appointments in work queues, and worklists in Epic • Work with Relatient patient reminder system results and contact patients or make scheduling changes • Maintain Handholder matrix • Perform other duties as assigned

• Prepare, scrub, and submit daily bundled rate claims for Clubhouse Services through the County of San Diego's designated claiming system/EHR and ShortDoyle/MediCal process, in accordance with County and DHCS requirements. • Apply correct procedure codes, modifiers, place-of-service, and rendering/billing provider data per BHIN 25009, the BH-CONNECT EBP Policy Guide, and County billing manuals. • Reconcile daily Clubhouse attendance logs and service documentation against claimable member days before submission; flag undocumented or unsupported days to program leadership prior to claiming. • Track and comply with timely filing requirements and County claim submission calendars. • Verify MediCal eligibility and aid codes for all Clubhouse members monthly (and prior to claiming), including share-of-cost, other health coverage (OHC), and managed care assignment issues that affect SMHS claiming. • Coordinate resolution of eligibility discrepancies with program staff and County BHS as needed. • Work claim denials, disallowances, and voids/replacements; perform root-cause analysis and correct/resubmit within required timeframes. • Reconcile remittances (835s/EOBs) against submitted claims; maintain accurate accounts receivable aging and escalate underpayments or unpaid claims. • Prepare monthly revenue reconciliation reports (claimed vs. paid vs. expected at the County bundled rate) for leadership. • Maintain working knowledge of BHCONNECT Clubhouse Services requirements, including the daily bundled rate structure, medical necessity/eligibility criteria, and documentation standards; monitor DHCS BHINs and County BHS updates for claiming changes. • Understand the Clubhouse International Accreditation requirement and its impact on claiming eligibility (MediCal claiming is limited to four years total prior to Accreditation); support leadership in tracking accreditation-linked billing status. • Support internal charter-claim audits and respond to County/DHCS audit requests, recoupments, and cost report or data submissions as assigned. • Ensure all billing activity complies with HIPAA, 42 CFR Part 2 (where applicable), and MediCal program integrity requirements; report suspected compliance issues immediately. • Serve as the billing liaison to County of San Diego BHS billing/fiscal contacts for Clubhouse Services claiming questions. • Train Clubhouse program staff on documentation elements required to support the daily bundled rate. • Assist with billing workflow buildout, desk procedures, and QA processes for this new service line; support billing for other PHG lines of business as capacity allows.

Role Description If you are passionate about providing high-quality care to individuals in your community, we invite you to join our team at AWARE. AWARE is looking for the right person to join the team as a PACT Co-occurring Specialist. The support we provide helps the adults, children, and families we serve become active and vital members of their community while focusing on personal growth. We are a compassionate and fully engaged team that is dedicated to providing the best possible care to our clients. Our strength lies in our culture of care, and we are looking for individuals who share our commitment to providing unconditional care to those in need. We are committed to providing a supportive and inclusive work environment where all team members feel valued and respected. We offer competitive compensation and benefits packages, as well as opportunities for professional growth and development. If you are looking for a rewarding career, we encourage you to apply to join our team at AWARE. Responsibilities: - Counsel clients on a one-to-one session to assist in dealing with mental health and addiction issues. - Interviews clients, reviews applicable records, and confers with other professionals to evaluate mental conditions. - Collaborate with supervisors, directors, staff physicians, and other pertinent professionals to plan and coordinate treatment, drawing on experience and the needs and strengths of individual youths. - Monitor, evaluate, and record client progress with respect to treatment goals. - Refer clients – and if applicable – family members to community resources for services to assist in meeting treatment goals and recovery, following through to ensure service efficacy. - Provide any needed clinical assistance to other staff that may provide services to clients. - May provide consultation, evaluation, and treatment services. - Spend time with clients and family as assigned and/or as identified on the treatment plan while assisting the client to solve problems when issues arise. - Participate in treatment team meetings of clients. - Reports behavioral and emotional observations of client and/or family members to the Team and modify treatment plans according to changes in client status. - Utilizes H.E.L.P. (including therapeutic holds) when it is determined that a resident is a danger to self or others; also performs basic First Aid and/or CPR when needed. - Attends and participates in mandatory training, in-services, staff meetings, and Corporate Committees as assigned. - Conducts a treatment team meeting with the client and caregiver to develop an individualized treatment plan. - Must demonstrate – on a consistent basis – the willingness and ability to productively utilize work time to meet the needs of the individuals being served as directed, with the understanding that specific program outcomes and fiscal goals (billing, case load number maintenance, weekly) must be met monthly. - Develop a crisis plan with the client and caregiver that identifies a range of potential crisis situations with a range of corresponding responses including direct and telephonic response 24/7. - Utilizes and accurately records client data using AWARE’s Electronic Medical Records System as assigned, outlined, and trained. - Perform other duties as assigned. Excited to join our organization? AWARE co-occurring specialists earn $60,000.00 to $70,000.00 per year. Qualifications - An advanced degree (MS, MA, PhD) in Psychology, Social Work, or related field. - Requires one (1) year direct work experience and a current LCPC or LCSW License. - Must maintain the specific professional license and/or professional certification as required by state, federal governing boards, and other such certification boards. - Co-Occurring Staff will be required to demonstrate or earn 4 Continuing Education Units in co-occurring therapy. - Must have, or be willing to obtain, a valid Montana Driver’s License. - Must have an acceptable driving record, as well as an acceptable criminal and protective services background check. Benefits - Quarterly Financial Bonus Program - Tuition Advancement Program - Health Insurance - Dental/Vision Insurance - 401(k) with company match - Life Insurance - Wellness programs - Generous paid time off Company Description AWARE proudly offers an excellent benefits package, uniquely designed to support you and your family in staying well, professional growth, and achieving financial security. We are proud to be an equal opportunity employer.

Role Description As a Billing Rep, you will work by phone or correspondence to gather information and generate accurate billing statements to our customers for their insurance premiums. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:30am - 5:00pm) CST. It may be necessary, given the business need, to work occasional overtime. Pay range: $17.20 - $24 / hour. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation. Qualifications - Relevant skills and training - Experience in billing or related field - Education and certifications as applicable Requirements - Flexibility to work any of the 8-hour shift schedules during normal business hours - Ability to work occasional overtime as needed Benefits - Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours - Best-in-class well-being programs - Annual, no-cost health assessment program Blueprint for Wellness® - healthyMINDS mental health program - Vacation and Health/Flex Time - 6 Holidays plus 1 "MyDay" off - FinFit financial coaching and services - 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service - Employee stock purchase plan - Life and disability insurance, plus buy-up option - Flexible Spending Accounts - Matching gifts program - Education assistance through MyQuest for Education - Career advancement opportunities - And so much more!