Billing Support Clerk

Job DetailsJob Location: Missouri - MOPosition Type: Full TimeEducation Level: High SchoolSalary Range: $16.90 HourlyJob Shift: DayJob Category: Admin - Clerical Billing Support Clerk Full-time Work Location: Anywhere in Missouri (Remote) Compensation above the base rate may be offered based on relevant experience.   ABOUT US The Center for Human Services (CHS) has provided exceptional opportunities for individuals with intellectual and developmental disabilities since 1955. Currently, CHS provides programs and services to assist individuals with disabilities, low income, at-risk children, and their families to meet their goals, and experience their best lives while living, working, playing, and becoming a part of their communities. As an organization, we are leaders in excellence, we have a steadfast commitment to solutions, we respect all differences, abilities, and similarities in our employees and clients, and we advocate autonomy!   POSITION SUMMARYThe Billing Support Clerk supports the mission of CHS by providing critical billing and administrative support to the Service Coordination department. This position is responsible for tracking Medicaid eligibility, supporting Targeted Case Management billing processes and conducting quality assurance reviews. The role also assists with audits and reimbursement activities. Through strong attention to detail, accuracy, and effective coordination, the Billing Support Clerk helps ensure regulatory compliance, timely reimbursement, and the delivery of high-quality services.   ESSENTIAL DUTIES AND RESPONSIBILITIES Improves Targeted Case Management (TCM) billing accuracy and reimbursement by analyzing claim confirmation reports, identifying causes of billing rejections, implementing corrective actions, and preparing and submitting TCM invoices to meet spenddown requirements. Maintains effective coordination around Medicaid eligibility changes by proactively communicating updates with Service Coordinators (SCs), CHS Accounting, and DMH-DD Regional Offices to ensure timely corrections and accurate TCM billing. Ensure accurate and timely reimbursement by conducting weekly reviews of pre-billing reports, resolving billing denials, and addressing Medicaid-related issues including incorrect codes, spenddown requirements, and lapses in coverage. Maintain Medicaid eligibility accuracy for individuals served by systematically tracking and reporting status changes, including spenddown obligations, reinvestigation follow-up, application progress, and determinations of ineligibility. Protect billing accuracy and compliance by monitoring and documenting changes in individual status, including admissions to or discharges from nursing homes, residential care facilities, and hospitals, as well as deaths, and promptly updating records to reflect these changes. Ensure regulatory and accreditation compliance for the case management program by conducting regular audits and monitoring activities, minimizing risk, and maintaining continuous state and federal program approval.   SKILLS AND ABILITIES Ability to prioritize Ability to work independently Ensure confidentiality of information Excellent communication skills Highly reliable Proficient with Microsoft Office 365 or related software Respect the rights of individuals Strong follow-up skills by phone and email Strong organizational skills Time management skills   COMPETENCIES Accurate listening Attention to detail Concrete organization Developing others Handling stress well Initiative/self-starter Meeting standards Persistence Problem Solving Personal accountability Respect for policies   QUALIFICATIONS REQUIRED EDUCATION: High school diploma, GED or Hi Set Degree and two years of related work experience OR associate's degree (AA or AAS) in related field plus one year of related work OR any combination of education and experience to equal three years. WORK LOCATION: Anywhere in Missouri (fully remote) SHIFT: FT (40 hrs. per week) Mon-Fri: 8am-5pm BENEFITS: CHS offers best-in-industry benefits. Click here to view our Benefits guide for more details EEO STATEMENT: Center for Human Services/Chariton Valley Association provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This statement applies throughout the life cycle of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. If you are unable to submit your application because of incompatible assistive technology or a disability, please contact us at 660-826-4401 ext. 331 or 660-665-1111 ask for HR. Qualifications