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New Job Listing: Human Resources Manager/Billing Specialist
Position open until filled. Application Deadline: Monday, March 2, 2026, at 8 am. The human resources position is a dual role with insurance billing duties.
GENERAL SUMMARY
· The Human Resources Manager is responsible for managing a variety of human resources functions, including recruitment, employee relations, benefit administration, and compliance with labor laws. The Human Resources Manager works in all areas related to the employment-related matters of the Agency and human service affairs. Provides insurance billing services for the organization including submitting claims, processing insurance payments, adjusting client accounts, and submitting any applicable secondary or tertiary billing. Maintains client insurance charts and completes other necessary miscellaneous paperwork required by insurance companies.
ESSENTIAL JOB FUNCTIONS:
1. Recruitment and Onboarding: Assist Executive Director with the hiring process by posting job openings, screening resumes, setting up interviews, and guiding new hires through the onboarding process to ensure a smooth transition into the company.
a. Manage ongoing staff trainings.
2. Employee Relations: Act as a point of contact for employees, addressing their concerns, managing grievances, and fostering a positive workplace culture.
a. Serves as a link between the Executive Director and employees handling questions, interpreting and administering contracts, and helping resolve work-related problems.
b. Advise the Executive Director on matters related to employment and potential liability.
3. Benefits Administration: Oversee employee benefits programs, including health insurance, retirement plans, and leave policies, ensuring compliance with regulations and effective communication to employees.
a. Analyzes and modifies compensation and benefits policies to establish competitive programs and ensure compliance with legal requirements.
b. Manage process for all resignations and terminations including notification to insurance carrier regarding COBRA.
4. Policy Implementation: Develop, update, and enforce policies and procedures to ensure compliance with employment laws and organizational standards.
a. Makes decisions within a framework of policies set by the Board of Directors and existing laws and regulations.
b. Maintains current knowledge of organizational policies and procedures and federal and state policies and directives.
5. Performance Management: Support performance review processes, including setting up evaluation criteria and assisting managers in conducting reviews.
a. Provide input to supervisors on the process for progressive discipline and involuntary employment terminations
b. Manage the details of all resignations and terminations, including all necessary paperwork, return of all agency property and exit interview.
6. Assist with gathering, organizing, and completing grants.
7. Credentialling of agency personnel: Work directly with clinicians and third-party payers to complete necessary forms for reimbursement based on clinical degree or licensure. Ensure documents/agreements are maintained in good standing.
8. Billing Operations and Claims Management: Implementing and managing insurance billing.
a. Complete and submit necessary paperwork to third-party payers on behalf of the organization to ensure that reimbursement is not interrupted and the organization remains in good standing with outside parties.
b. Generate and submit all 837 Electronic Data Interchange (EDI) claim files to third-party payers on a weekly basis, or as needed.
c. Correct and resubmit denied claims to third-party payers.
i. Review, monitor, and follow-up on all outstanding receivable balances in the EHR software.
d. Process explanation of benefits (EOBs) from third-party payers and apply payments/adjustments in the Electronic Health Records (EHR) software.
e. Print, review for accuracy, and mail client statements on a monthly basis, or as necessary
KNOWLEDGE/SKILLS AND ABILITIES:
1. Strong judgment and decision-making skills.
2. Excellent interpersonal, verbal, and written communication skills.
3. Ability to interpret and apply employment laws, policies, and procedures.
4. Critical thinking and problem-solving skills.
5. Ability to manage confidential and sensitive information with discretion.
6. Strong organizational and time-management skills with attention to detail.
7. Ability to collaborate effectively with leadership, staff, clinicians, and external partners.
8. Proficiency with HRIS systems, EHR software, billing platforms, and Microsoft Office (Word, Excel, Outlook).
9. Ability to learn and apply company-specific clinical and billing systems.
10. Ability to monitor performance and implement corrective actions when needed.
11. Ability to provide guidance and leadership to professional staff.
EDUCATION AND EXPERIENCE:
· Bachelor’s degree or higher in Human Resources, Business Administration, Psychology, or a related field.
· Knowledge of mental health services and community-based programs preferred.
· Experience in insurance billing, healthcare revenue cycle management, or behavioral health billing strongly preferred.
Wage: Dependent on education, licensure, and experience.
Benefits include full health, dental, and vision insurance coverage, 14 paid federal holidays, sick leave, vacation time, and 2 personal days annually for full-time employment. Eligible for retirement benefits after one year of employment.
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Current Job Opening: Counselor
- Open until filled.
- Bachelor’s degree preferred or above in social work, counseling, psychology, or other relevant human service profession.
- Counseling includes individual, group, and family sessions in clinical and outreach settings.
- Responsible for clinical practice, completion of forms, and progress notes.
- Will complete assessments, diagnosing, and development of strength-based treatment plans.
- Provides on-call services as scheduled.
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Current Job Opening: Systems of Care Coordinator
The Systems of Care (SOC) program is a wraparound approach to delivering services to youth and families, as identified by school systems and other community stakeholders.
The SOC Coordinator will work in collaboration with many agencies including school systems and other community resources, to provide the following services:
- Consultation with schools and community agencies
- Accepting referrals and ensuring completion of intake paperwork
- Assess and assist families with needs across life domains
i. Basic Needs
ii. Social Supports
iii. Emotional Needs
iv. Educational Needs
v. Community Supports
vi. Housing Supports
vii. Health
viii. Safety
- Ensuring families are informed of service options
- Facilitating team meetings as needed to develop and monitor service plans and ensure that service plans are driven by the family
- Case management to refer and facilitate access to an array of community services and supports
- Collaboration and coordination to facilitate implementation of service plans across all involved child and family serving agencies
- Continually updating knowledge of and relationship with community resources available to children and families
- Conducting training, outreach and marketing in support of SOC programming
Education: High School Diploma or equivalent and higher.
Wage: Dependent on education and experience.
Part-time or full-time positions available.
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Mail Resumes to:
Southern Plains Behavioral Health Services
Lindsey McCarthy, Executive Director
500 E. 9th Street
Winner, SD 57580
Email: limccarthy@spbhs.net