Billing Specialist
Billing Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Title: Billing Specialist
Reports to: Billing Manager
Department: Finance
Status: FullTime; NonExempt (hourly); NonManagement
Location: Arlington Headquarters 2116 Arlington Ave. Suite 100 Los Angeles CA 90018
Schedule MondayFriday 8:30AM5:00pm)
Summary
The Billing Specialist will review and verify that client records are complete for a successful transmission of medical claims for reimbursement from Department of Mental Health and private thirdparty providers. The Billing Specialist is responsible for ensuring that information is processed accurately and timely and is Familiar with concepts practices and procedures for all billing claims to Department of Mental Health (DMH) using the Electronic Health Record (EHR) software EXYM.
Essential Duties and Responsibilities
- Submit timely weekly billing to Los Angeles County Department of Mental Health and thirdparty payers using EHR EXYM and Office Ally.
- Collaborate with QA Department to oversee the electronic health record EXYM; for billing case closures location funding sources and productivity updates.
- Review manage and develop billing procedures as needed to maintain compliance with local state and federal regulations.
- Knowledge of use and application of Current Procedural Terminology (CPT) Codes.
- Identify and notify management of denial patterns and issues.
- Responsible for data tracking and reporting.
- Manage track and resolve denied and voided claims following through until claim is paid.
- Responsible for weekly download of SIFT Data. Review data for claim accuracy in DMH/IBHIS and EXYM systems.
- Collaborate and consult effectively with Clinical Quality Assurance Mental Health and any other staff/programs to ensure adherence to policies and procedures.
- Generate and distribute statistical management reports to leadership identifying unfiled pending denied and submitted claims.
- Responsible for maintaining the highest level of billing standards following current guidelines from MediCal and other insurance entities.
- Understand how mental health staff in electronic databases (NAPPA NPPES) affects billing accuracy and completion.
- Check MediCal eligibility on a bimonthly basis for all clients and compile list of clients with terminated MediCal as needed and provide management reports.
- Attend internal and external meetings and trainings.
- Perform a variety of general clerical duties; prepares a variety of routine correspondence forms reports and similar items using word processing and Excel Spreadsheet.
- Develop and maintain claim resolution skills through continuous trainings workshops and education.
- Other duties as assigned.
Qualifications:
- High school diploma or GED and a minimum of 3 years recent experience in Los Angeles Department of Mental Health (DMH) billing.
- Experience in Electronic Health Record EXYM preferred.
- Knowledge of and expertise in third party payers and MediCal billing.
- Computer skills with strong proficiency in Microsoft Office Software (Excel Outlook and Word).
- Strong written and oral communication skills presenting financial results to all relevant parties.
- Excellent data management skills.
- Able to be accurate precise and thorough and detail oriented.
- Ability to perform mathematical and data processing tasks rapidly and accurately.
- Demonstrates ability to handle multiple tasks simultaneously and to work independently.
- A selfstarter with ability to coordinate multiple projects/tasks at once.
- Possess problem solving and conflict resolution skills and exercises professional judgement.
- Flexible adaptable and capable of working in a fast paced professional environment.
- Maintain and execute confidential information using HIPAA standards.
- Covid19 vaccinated and boosted or with a medical/religious exemption.
WORK ENVIRONMENT
- Office environment.
- Regularly required to sit stand bend; occasionally lift or carry up to 25 lbs.
- On occasion walk or drive to different agency sites.
- May necessitate working in busy and loud environments.
- May be exposed to elements like cold heat dust noise and odor.
- May need to bend stoop twist and sit throughout the day.
EXPECTED BEHAVIORS OF ALL STAFF
- Act as a role model
- Demonstrate a sense of responsibility
- Continuously learn and improve
- Acknowledge your own areas of improvement
- Hear and provide honest specific and direct feedback
- Create an environment where everyone is welcomed valued and respected
- Collaborate
Equal Opportunity Employer
The People Concern is an equal opportunity employer dedicated to nondiscrimination in employment. We select the most qualified individual for the job basedon jobrelated qualifications regardless of race color age sex religion national origin disability ancestry marital status credit history sexual orientation arrest and court record genetic information veteran status or any other status protected by federal state or other applicable laws.
About the People Concern
The People Concern empowers the most vulnerable among us to rebuild their lives. One of Los Angeles Countys largest social services agencies The People Concern was formed in 2016 in a merger of two trusted social service organizations based in Los Angeles County OPCC and Lamp Community. Informed by more than fiftyeight years of work in the community The People Concern is a leading provider of and advocate for evidencebased solutions to the multifaceted challenges inherent in homelessness and domestic violence.
With compassion and profound respect for those we serve we provide a fully integrated system of care including outreach interim housing mental and medical health care substance abuse services domestic violence services life skills & wellness programs and permanent supportive housing tailored to the unique needs of homeless individuals survivors of domestic violence challenged youth and others who have nowhere else to turn.
The People Concerns model of integrated and comprehensive care empowers our participants to navigate the multifaceted obstacles in their lives become their best selves and ultimately connect with and contribute to their communities.
Benefits & Perks
- Medical Insurance
- Vision Insurance
- Dental Insurance
- Retirement Planning 403b) & Matching
- Paid Holidays
- Paid Vacation Days
- Paid Sick Days
- Employee Assistance Plans (EAP)
- TELUS Health
- Flexible Spending Account (FSA)
- Basic Life / Accidental Death & Dismemberment (AD&D)
- Voluntary Short and LongTerm Disability
- Voluntary Pet Insurance
- Discounts on Hotels Theme Parks Concerts Movies Restaurants & More
- The People Concern University & Certificates
- Corporate Discounts
Other details
- Pay TypeHourly
- Min Hiring Rate$23.08
- Max Hiring Rate$25.00
- Travel RequiredYes
- Required EducationHigh School
Required Experience:
Unclear Seniority
Employment Type
Hourly
