Assertive Community Treatment Supervisor

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General Statement of Duties:

To ensure the ongoing operation of Assertive Community Treatment (ACT) services, supporting individuals with serious and persistent mental illness in a recovery-oriented environment. The position provides clinical and administrative supervision for professional staff positions and ensures that services are in conformity with State Licensure and Medicaid regulations.  The incumbent in this position is responsible for the coordination, implementation, and maintenance of ACT services. This position oversees all operations for ACT, including coordination of coverage of direct services. As part of the operational duties of ACT, this position may require occasional evening/weekend or holiday duties as needed.

The position is supervised by the Director of Community Mental Health Services. Regularly scheduled supervision is both provided and received, as well as ongoing consultation and assistance necessary to accomplish the goals of ACT. Incumbents in this position should have demonstrated capabilities and initiative in serving individual clients and program design and implementation.  Job duties require the ability to act independently, make decisions, interpret policies and procedures, consult and collaborate with other staff members, maintain client and personnel confidentiality, and provide leadership in the delivery of services to clients of the Board.

This position is classified exempt under the Fair Labor Standards Act.

Major Duties and Responsibilities:

  • Ensures ACT services follow all regulations as identified by DBHDS and DMAS. Establishes and maintains fidelity to the ACT model as identified in the Tool for the Measurement of Assertive Community Treatment (TMACT);
  • Provides consultation and oversight to the development of new programs utilizing the ACT model at HRCSB;
  • Represents HRCSB in all ACT related meetings with other agencies or state entities;
  • Provides direct supervision to ACT staff, including the provision of clinical and procedural guidance.  This includes the establishment and monitoring of performance objectives and performance appraisals;
  • In coordination with other agency staff, develops and maintains protocols or admission policies regarding the admission and referral of individuals requesting services from the agency. Will participate as a team member in screening and triaging services requests;
  • Monitors the provision of services, utilization, revenue and disbursements, and adherence to agency policy in consultation with Director;
  • Provides direct clinical services to clients with severe and persistent mental illness;
  • Oversees staff scheduling to ensure that sufficient resources are in place to meet program or department demands, including ACT Team and coordination with Crisis Services. This would include monitoring attendance and punctuality of program staff;
  • Conducts daily team meetings in accordance with regulations to include the effective communication of protocols and changes, agency expectations, staffing issues;
  • Participates in the recruitment and selection process of staff directly supervised by this position, including screening and interviewing of applicants and making hiring recommendations in consultation with Director;
  • Monitors clinical documentation to ensure quality documentation standards and to assign clinical follow-up as appropriate;
  • Implements continuity of care procedures and coordinates the provision of ongoing services in observance with applicable agency initiatives;
  • Participates in statewide ACT and CSB training conferences to maintain the most updated knowledge related to the ACT functions and agency/community services;
  • Assists in data collection and program research projects as necessary;
  • Maintains relationships with community partners including law enforcement and hospitals to ensure continuity of care for clients;
  • Collaborates closely with other agency staff for the purpose of services facilitation and developing efficient procedures for getting new clients into services;
  • Participates in regular meetings with agency personnel as indicated to coordinate cases, services, and outcomes as a means of enhancing the provision of services;
  • Produces client related service records and maintains accurate and up-to-date documentation consistent with agency policies and procedures;
  • Performs other duties as assigned by supervisor which are consistent with the position and in compliance with agency policies and procedures.
  • Conducts meetings for the purpose of coordinating services to individuals discharged from state psychiatric facilities to this community;
  • Establishes and maintains relationships with other community agencies, advocacy groups and service providers;
  • Maintains and assures that staff of the program maintain effective working relationships with coworkers and customers based on courtesy, compassion and respect; insures that staff protect carefully the confidentiality of clients;
  • Demonstrates a desire and willingness to continue growing and learning professionally, as evidenced by participation in appropriate workshops, seminars, and conferences;
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
  • Performs other related duties as assigned that are consistent with the mission of the Harrisonburg Rockingham Community Services Board;

Required Knowledge, Skills and Abilities:

Considerable knowledge of adult and geriatric psychology in mental health and substance use disorder areas; of primary models for treatment of individuals having these problems; of appropriate methodologies for assessing psychopathology; and, of crisis intervention theory and techniques, and their application to individuals in crisis.  Working knowledge of community systems and resources and, inter-agency collaborating.  Knowledge of or experience with ACT model of treatment. Supervision experience preferred.

Minimum Education and Experience:

Graduation from an accredited college or university with a masters degree in human services or related field plus three years of clinical experience providing treatment to persons with severe and persistent illnesses and/or co-occurring disorders. Professional licensure or Licensed Eligible in good standing with the state of Virginia is required (LPC, LPC-resident or LCSW, LCSW-supervisee). Staff member is responsible for submitting documentation of license or status of residency/supervisee at time of hire (if applicable) and annual proof of license renewal to the compliance office.

 

Other Information:

Equipment: Telephone, copy machine, agency and/or personal vehicle, agency laptop, word processing, agency cellular phone, EHR software.

Work Environment: General office environment with normal lighting levels, temperature, air quality, ventilation and noise levels. Community settings, facilities, individuals’ homes, with environment as determined by occupant. Vehicle.

Work Location: 1241 N. Main St., Harrisonburg, VA; individuals’ homes, facilities, and/or community settings.

Work Hazards: Minimal hazards associated with community-based treatment and rehabilitation services. Hazards associated with working alone in community settings.

Work Schedule: ACT is a 24-hour program and flexibility is required in order to meet and respond to coverage needs and individual residents’ needs. Shifts will vary to meet the needs of the program.  Full-time employees are required to work 40 hours each week.  Monday through Friday- day and/or evening shifts. Weekends and Holidays- evening shifts on a rotating basis with ACT team members. Overnight and weekend on-call on a rotating basis with ACT team members, as well as consult. Regular and reliable attendance is required.

HIPAA Access Level 2:  Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

Client Financial Services Specialist

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General Statement of Duties:

This position plays a crucial role in supporting the financial aspects of client care within HRCSB. This position is responsible for managing client financial information, verifying insurance coverage, assisting with financial intakes, resolving billing and insurance claim issues and ensuring that clients have a clear understanding of their financial responsibilities related to services provided. The position serves as a key point of contact for clients and insurance companies as appropriate, ensuring a seamless financial experience in a supportive and compassionate manner.  This position reports to the Reimbursement Supervisor.

This position is classified non-exempt under the provision of the Fair Labor Standards Act.

Major Essential Functions:

  1. Client Financial Intake
  • Conduct financial intake for new and existing clients, gathering necessary demographic, insurance, and financial information. Works collaboratively with Client Account Representative to cover in-person financial intakes for clients.
  • Explain financial policies to clients, including payment plans, co-pays, and insurance coverage. For self-pay clients, provides standard fees for each client in accordance with the agency policy and established sliding scale fee schedule, completes fee agreement forms, processes fee appeals for Reimbursement Supervisor/CFO approval, and scans all required documents in EHR system, attached to the client records.
  • Ensure accurate entry of all client information into the electronic health record (EHR) or billing system.
  1. Insurance Verification
  • Verify insurance eligibility and coverage for behavioral health services, including checking for in-network benefits, co-pays, and deductibles.
  • Communicate with insurance companies as needed to resolve coverage or billing discrepancies.
  1. Billing and Claims Management
  • Review and process insurance claims, ensuring accurate coding and documentation of services rendered.
  • Monitor and follow up on claim denials, rejections, and underpayments, working with insurance companies to resolve issues promptly.
  • Assist with resubmitting corrected claims and appeals to ensure accurate reimbursement.
  • Maintains up-to-date knowledge of third-party and other payers’ requirements in order to assist with notifications within the electronic health record and maximize reimbursements from those sources of revenue.
  1. Client Billing and Collections
  • Communicate directly with patients regarding their financial responsibilities, including statements of services and payment expectations.
  • Updates client contact information as appropriate.
  • Address patient inquiries related to billing issues, such as discrepancies in charges, insurance coverage, or payment plans.
  • Assist patients in understanding their insurance benefits and any out-of-pocket costs, offering solutions for payment arrangements when necessary.
  • Assists in the collection procedures of client overdue accounts (legal action, set-off debt).
  • May assist with preparing and sending necessary paperwork to maintain CSB information with the state Set-Off Debt (SOD) Collection program, including processing Add, Change, and Update Forms under the direction of the Reimbursement Supervisor.
  1. Customer Service and Support
  • Provide compassionate and professional support to patients and their families regarding financial matters related to behavioral health services.
  • Collaborate with clinical staff, case managers, and other departments to ensure accurate financial documentation and service delivery.
  1. Compliance and Documentation
  • Maintain accurate records of all financial transactions, communication with patients, and insurance interactions.
  • Stay up-to-date on insurance policies, regulations, and compliance requirements in the behavioral health field.
  • Ensure that all activities comply with relevant federal, state, and local regulations as well as organizational policies.
  1. Problem Resolution
  • Work proactively to resolve billing issues, payment discrepancies, and other financial concerns for clients in a timely and empathetic manner.
  1. Collaboration and Team Support
  • Collaborate with clinical and administrative teams to ensure timely and accurate processing of financial information and payments.
  • Participate in training sessions to stay informed about industry changes and new financial procedures.
  • Maintains effective relationships with co-workers and clients based on courtesy, compassion, and respect.
  • May back up other departmental functions or perform other duties and special projects as assigned consistent with established operational policies and procedures.

Required Knowledge, Skills and Abilities:

  • Knowledge of insurance processes, claims adjudication and reimbursement procedures.
  • Work independently, coordinate responsibilities and assignments with others at the appropriate level. Ability to seek and use supervision appropriately.
  • Make decisions and initiate action based on established policies and procedures.
  • Ability to explain complex payment/billing issues in an understandable manner to others who don’t have the billing knowledge.
  • Demonstrate knowledge of computer operations in automated accounts receivable systems, office procedures and equipment;
  • Perform detailed work in an accurate, efficient, and professional manner.
  • Provide excellent customer service internal and external.
  • Ability to understand and follow oral and written directions.
  • Strong organizational, communication-both oral and written and interpersonal skills.
  • Ability to be a team player within the department, agency and external to others. Flexibility with work duties.
  • Maintain confidentiality of client and staff at all times.

Minimum Educational Experience:

Completion of high school or GED required.  Additional education, certifications or work experience preferred which could include college or business school courses; plus, two- three years of experience in relevant customer service or administrative support work; reimbursement and third-party billing experience a plus; or any equivalent combination of experience and training which provides the required knowledge, skills, and abilities.

Other Information:

Equipment: PC and designated software, adding machine/calculator, copy machine, fax machine, printer, document scanner, and telephone system.

Work Environment: General office environment with normal lighting levels, temperature ranges, air quality, ventilation, and noise levels.

Work Location: 1241 North Main Street Campus, Harrisonburg, VA

Work Hazards: Some hazard associated with repetitive motion necessary for data entry/ typing; standard hazards associated with human services environment.

Work Schedule: Hours will occur Monday – Friday between 8am – 5pm; hours scheduled as needed to meet agency operational needs.

HIPAA Access Level 3:  Read-only access to protected health information (PHI), limited to minimum necessary, and full read/write access to demographic and financial information, limited to the minimum necessary, for all clients as part of staff provision of support services in agency healthcare operations.  Staff at Level 3 are allowed to seek out client PHI as necessary to perform assigned duties but are expected to exercise due precautions to avoid exposure to PHI which is not necessary to perform these assigned duties.  Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

Arbor House FAQ

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A list of frequently asked questions and answers about our Arbor House program.

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