Senior Billing Specialist
2 months ago
Summary
The Billing Administrator will review and verify through the use of reports that client records are complete for a successful transmission of medical claims for reimbursement from Department of Mental Health and private third party providers. The Billing Administrator 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 third party 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 Medi-Cal, and other insurance entities.
- Understand how mental health staff in electronic databases (NAPPA, NPPES) affects billing accuracy and completion.
- Check Medi-Cal eligibility on a bi-monthly basis for all clients and compiling list of clients with terminated Medi-Cal 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 Medi-Cal 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 self-starter, 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.
- Covid-19 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.
RESPONSIBILITIES COMMON TO ALL AGENCY EMPLOYEES
- Maintain a safe work environment and confidentiality at all times.
- Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues.
- Organize and prioritize multiple activities to meet all external and internal deadlines.
- Maintain professional demeanor that reflects positively on the agency.
- Demonstrate respect and courtesy toward others.
- Able to thrive in a work environment emphasizing teamwork and collaboration.
- Respond within 48 hours to all requests.
- Work with minimum supervision.
- Perform other duties as assigned.
RESPONSIBILITIES COMMON TO ALL AGENCY EMPLOYEES
- Maintain a safe work environment and confidentiality at all times
- Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues
- Organize and prioritize multiple activities to meet all external and internal deadlines
- Maintain a professional demeanor that reflects positively on the agency
- Demonstrate respect and courtesy toward others
- Able to thrive in a work environment emphasizing teamwork and collaboration
- Ability to prioritize different tasks with minimal supervision
- Perform other duties as assigned
Equal Opportunity Employer
The People Concern is an equal opportunity employer dedicated to non-discrimination in employment. We select the most qualified individual for the job basedon job-related 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 County's 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 fifty-eight years of work in the community, The People Concern is a leading provider of, and advocate for, evidence-based solutions to the multi-faceted 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 Concern's model of integrated and comprehensive care empowers our participants to navigate the multi-faceted 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 Long-Term Disability
- Voluntary Pet Insurance
- Discounts on Hotels, Theme Parks, Concerts, Movies, Restaurants & More
- The People Concern University & Certificates
- Corporate Discounts
- Pay Type Hourly
- Min Hiring Rate $24.03
- Max Hiring Rate $30.00
- Required Education High School
We have other current jobs related to this field that you can find below
-
Senior Billing Specialist
3 weeks ago
Los Angeles, United States Coda Search│Staffing Full timeWe are seeking a highly experienced Senior Billing Specialist to join a top law firm's Los Angeles office. This role offers an opportunity to work in a fast-paced environment, managing complex billing processes and contributing to the financial success of the firm.Position Overview: The Senior Billing Specialist will be responsible for overseeing and...
-
Senior Billing Specialist
1 week ago
Los Angeles, United States Coda Search│Staffing Full timeWe are seeking a highly experienced Senior Billing Specialist to join a top law firm's Los Angeles office. This role offers an opportunity to work in a fast-paced environment, managing complex billing processes and contributing to the financial success of the firm.Position Overview: The Senior Billing Specialist will be responsible for overseeing and...
-
Senior Billing Specialist
2 weeks ago
Los Angeles, United States Matura Farrington Full timeReputable Law Firm is seeking a Sr. Billing Specialist to join their team! The Sr. Billing Specialist will act as the right hand to the Billing Supervisor and perform all aspects of the firm's monthly billing process, including special billing related projects.Responsibilites:Billing support in all aspects of billing/collections/AR for the firm including:...
-
Legal Billing Specialist
1 day ago
Los Angeles, United States DirectedLink Full timeJob DescriptionBased in any of our US offices, the Billing Specialist will provide general data entry support to the Central Billing department and Accounting department. The Billing Specialist should strive to provide their assigned attorneys and clients with the highest-quality customer service by becoming a subject-matter expert in all billing matters....
-
Billing Specialist
1 week ago
Los Angeles, United States HERS Advisors Full timeJob DescriptionJob DescriptionHERS Advisors has partnered with a successful regional law firm in West Los Angeles office (hybrid) who has a need for a talented Billing Specialist. Responsibilities for Billing Specialist: Communicates with clients daily solving submission processesProcess, upload/post, submit appeals/adjustments to portals as neededMonthly...
-
Home Services Billing Specialist
7 days ago
Los Angeles, United States WelbeHealth Full timeJob DescriptionJob DescriptionThe WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.The Billing Specialist, is a key member in our Home Services and Accounts Payable...
-
Billing Specialist
2 months ago
Los Angeles, United States Ascendion Full timeAbout Us: We are a prominent law firm located in the heart of Los Angeles, renowned for its commitment to excellence, integrity, and client satisfaction. With a diverse team of legal professionals, we specialize in providing top-tier legal services across various practice areas, serving clients both locally and internationally.Position Overview: We are...
-
Billing Specialist
2 months ago
Los Angeles, United States Ascendion Full timeAbout Us: We are a prominent law firm located in the heart of Los Angeles, renowned for its commitment to excellence, integrity, and client satisfaction. With a diverse team of legal professionals, we specialize in providing top-tier legal services across various practice areas, serving clients both locally and internationally.Position Overview: We are...
-
Billing Specialist
2 weeks ago
Los Angeles, United States Michigan Design Center Full timeJob DescriptionJob DescriptionOverview:The billing specialist plays a crucial role in the organization's financial operations by ensuring accurate and timely invoicing, as well as effective communication with clients regarding billing matters. They are responsible for maintaining billing records, resolving billing discrepancies, and contributing to the...
-
Billing Specialist
2 weeks ago
Los Angeles, United States Michigan Design Center Full timeJob DescriptionJob DescriptionOverview:The billing specialist plays a crucial role in the organization's financial operations by ensuring accurate and timely invoicing, as well as effective communication with clients regarding billing matters. They are responsible for maintaining billing records, resolving billing discrepancies, and contributing to the...
-
Billing Specialist
1 week ago
Los Angeles, United States GHJ Search and Staffing Full timeJob DescriptionJob DescriptionGHJ Search & Staffing is working with a great non-profit who is actively looking for a detail-orientated Billing Specialist to join their growing team. The organization fosters equitable opportunities for at risk young adults to develop resilience within themselves, their communities and the environment through comprehensive...
-
Billing Specialist
3 weeks ago
Los Angeles, United States Mitchell Martin Inc. Full timeBilling/Claims AnalystLocation: On-site LA 8th Street Type: 6 month contractPay Rate-26-31/HR based on experienceJOB SPEC:- Must have at least 1+ years of experience working as a Billing/Claims Specialist- Must have experience with any of the following (overpayments, refunds, receivables. or reconciliation- Intermediate Excel skills needed
-
Billing Specialist
3 weeks ago
Los Angeles, United States Mitchell Martin Inc. Full timeBilling/Claims AnalystLocation: On-site LA 8th Street Type: 6 month contractPay Rate-26-31/HR based on experienceJOB SPEC:- Must have at least 1+ years of experience working as a Billing/Claims Specialist- Must have experience with any of the following (overpayments, refunds, receivables. or reconciliation- Intermediate Excel skills needed
-
Billing Specialist
2 months ago
Los Angeles, United States Daviselen Advertising Full timeJob DescriptionJob DescriptionThe Billing Specialist is responsible for billing and reconciliation for assigned clients. They generate billing reports for the Account Service team, direct the processing of invoices and payments, and manage expense accounts and budget reports.ResponsibilitiesMedia:Run Media invoices to include in the Client Monthly billing...
-
Billing Specialist
2 weeks ago
Los Angeles, United States Daviselen Advertising Full timeJob DescriptionJob DescriptionThe Billing Specialist is responsible for billing and reconciliation for assigned clients. They generate billing reports for the Account Service team, direct the processing of invoices and payments, and manage expense accounts and budget reports.ResponsibilitiesMedia:Run Media invoices to include in the Client Monthly billing...
-
Billing Specialist
2 months ago
Los Angeles County, United States 347 Group, Inc. Full timeJob DescriptionJob DescriptionWe have an immediate opportunity for a Billing Specialist in the Pomona area. This position requires exceptional organizational skills, the ability to prioritize accordingly, and meet deadlines.Duties:Obtaining and tracking all documents required to process billing for large, high visibility customersPrepare payment...
-
Medical Billing Specialist
2 months ago
Los Angeles, United States Good Seed Community Development Corporation Full timeJob DescriptionJob DescriptionAre you looking to do meaningful and impactful work in the world with people you enjoy? Are you a detailed oriented individual with strong knowledge in medical billing? If so, we are looking for you to join our team as a Senior Medical Biller. The Senior Medical Biller will play a crucial role in ensuring the financial health of...
-
Legal Billing Specialist
3 weeks ago
Los Angeles, United States Century Group Full timeJob DescriptionJob DescriptionCentury Group’s law firm client is needing a Legal Billing Specialist temporarily. You will play a crucial role in managing appeals, e-billing processes, and financial transactions within our legal practice. Your attention to detail, proficiency in Microsoft programs, and ability to adapt to complex systems will contribute to...
-
Legal Billing Specialist
2 weeks ago
Los Angeles, United States Century Group Full timeJob DescriptionJob DescriptionCentury Group’s law firm client is needing a Legal Billing Specialist temporarily. You will play a crucial role in managing appeals, e-billing processes, and financial transactions within our legal practice. Your attention to detail, proficiency in Microsoft programs, and ability to adapt to complex systems will contribute to...
-
Billing and Collection Specialist
2 months ago
Los Angeles, United States JWCH Institute Full timeJob DescriptionJob DescriptionJob Summary:The Billing and Collection Specialist will be responsible for performing a variety of complex billing and collection functions. The duties include but not limited to maintaining and resolving third party billing and collection, reviewing patients’ accounts, verifying eligibility, and reprocessing all outstanding...
