Teams at Jefferson-Blount-St. Clair Mental Health Authority

Manages CCBHC accounting, cost reporting, PPS rate development, billing, compliance, financial data analysis, audits, and monthly closing. The role prepares and submits CCBHC cost reports, monitors revenues and expenses, reviews invoices, coordinates with consultants and collaborating organizations, and advises management on funding optimization, process improvements, and expense control.

Collects and analyzes CCBHC encounter, outcome, quality, claims, and operational data. Maintains EHR codes, logic, data dictionaries, datasets, reports, dashboards, and visualizations; submits Medicaid and behavioral health claims; monitors PPS performance and cost-report data readiness. Troubleshoots EHR issues, supports report creation, protects confidential data under HIPAA and HITECH, and communicates actionable findings to stakeholders.

Manages provider credentialing, recredentialing, payer enrollment, and compliance for mental health services. Verifies licenses and documentation, tracks renewals, responds to payer requests, and supports audits. Processes electronic claims and payments, investigates denials and underpayments, follows up on outstanding claims, corrects errors, and submits appeals. Maintains HIPAA compliance and prepares credentialing and compliance reports for leadership.