Billings Systems Specialist

3 weeks ago

Cerritos, California, United States SPECIAL SERVICE FOR GROUPS Full time
Opportunity Overview

We are looking for a talented Billing Systems Specialist to join our team at SSG. In this role, you will be responsible for managing our EHR/Information System, troubleshooting issues, and developing billing procedures to maintain compliance with regulations. With a strong background in Computer software programs and Current Procedural Terminology (CPT) Codes, you will make a valuable contribution to our financial operations team.

Estimated Salary: $75,000 - $90,000 per year

Location: [To be determined based on location]

This position requires a Bachelor's Degree in a business field or related field and minimum 2 years of experience in Behavioral Health billing. You must have strong writing and oral communication skills, as well as analytical and problem-solving abilities. Bilingual skills are preferred but not required.

As a member of our team, you will have opportunities to develop your skills, attend training sessions, and participate in professional development activities.

If you are a motivated and detail-oriented individual with a passion for finance and operations, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

  • Manage and troubleshoot EHR/Information System in accordance with DMH protocol
  • Review, manage, and develop billing procedures as needed to maintain compliance with local, state, and federal regulations
  • Coordinate revenue report, invoices, and billing for partner agencies
  • Track denied claims for denied codes and provide weekly status update of each denied claim. Troubleshoot any billing issues with denied claims
  • Identify and notify management of denial patterns and issues
  • Prepare financial reports related to billing activities for management review
  • Track voided claims and update Void Claim Reason Collection (VCRC) on a weekly basis
  • Manage, track, and resolve denied and voided claims, following through until claim is paid. Provide weekly updates until resolved
  • Recruit, hire, train, and supervise all billing team members
  • Understand how mental health staff in electronic databases (NAPAA, NPPES) affects billing accuracy and completion
  • Attend internal and external meetings and trainings
  • Develop and maintain claim resolution skills through continuous trainings, workshops, and education
  • Maintain and execute confidential information using HIPAA standards
  • Monitor insurance status of clients and sending monthly updates to DMH
  • Perform other tasks and responsibilities as assigned by the Division Director and/or Program Managers, and Program Coordinators
  • Provide linkage with other health facilities (pharmacy, lab, medical offices, partners)
  • Provide timesheet approval report at the end of each pay period
  • Manage and resolve error corrections for Alliance claims and activities
  • Update NAPPA of staff information
  • Set up and update Exym accounts for staff
  • Provide weekly report for denied claims/OHC, related items and update status on resolution
  • Provide monthly productivity reports to program managers
  • Collaborate with QA team to oversee the electronic health record, Exym, for billing, case closures, location, funding sources, and productivity updates
  • Regular attendance
  • Other duties as needed

Requirements:

  • Bachelor's Degree in a business field or related field
  • Minimum 2 years of experience in Behavioral Health billing, minimum 5 years total billing, and at least 2 years in a supervisory role
  • Strong proficiency in use and application of Current Procedural Terminology (CPT) Codes
  • Strong proficiency in Computer software programs (Experience on Microsoft Word and Excel, Internet; Medi-Cal, Medicare, private insurance etc.)
  • Strong writing and oral communication skills
  • Strong interpersonal and social skills
  • Time management skills necessary
  • Strong analytical skills, problem-solving abilities, and sharp attention to detail
  • Excellent data management skills
  • Ability to develop and maintain effective working relations with program and community representatives and contractors
  • Ability to work both independently and as a member of a team
  • Bilingual skills preferred but not required

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