Claims Specialist

4 weeks ago


Los Angeles, California, United States Vista Del Mar Child & Family Services Full time
Job Title: Claims Specialist - Quality Standards and Compliance

Job Summary:

We are seeking a highly skilled Claims Specialist to join our team at Vista Del Mar Child & Family Services. As a Claims Specialist, you will be responsible for managing client information and funding eligibility of clients billed through the Los Angeles County Department of Mental Health (DMH) contract.

Key Responsibilities:

* Verify funding eligibility status of DMH clients at admission and on a monthly basis and maintain financial information in client's module on Electronic Health Record System (EHRS) file and financial file.
* Check admissions and discharges in EHRS reviewing client's administrative facesheet insuring data is complete.
* Maintain an organized system of your assigned program's clients to be able to track the status of needed information and insure there is follow up with programs as needed.
* Review the client IBHIS facesheet and financial information sent by programs insuring all information is accurate and complete in EHRS.
* Submit all call information to Client Web Services (CWS).
* Review non-final saved charges in EHRS for any corrective action needed.
* Review Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.

Requirements:

* Background of education and/or experience in an office setting equivalent to a college education;
* Experience with insurance and submitting mental health claims; previous experience with Department of Mental Health contracts a plus;
* Advanced computer skills

What We Offer:

* Salary commensurate with experience
* Full benefits offered (Medical, Dental, Vision)
* FSA/Dependent Care and Supplemental benefits through The Standard
* 403(b) - 3% Employer contribution based off annual salary
* 4 Mental Health Days
* Up to 12 Paid Holidays
* Up to 25% for Cell Phone Discounts with 3 Major Carriers (AT&T, Verizon, Sprint)

About Us:

Vista Del Mar Child & Family Services is a nationally recognized clinical programs provider with a Gold Seal by the Joint Commission. Our educational facilities are fully accredited through the Western Association of Schools and Colleges (WASC), and our graduate degree program is recognized worldwide for its high quality of instructions.

Equal Employment Statement:

Vista Del Mar is committed to the full inclusion of all qualified individuals. Therefore, all qualified applicants will be considered for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Vista Del Mar will ensure that persons with disabilities are provided reasonable accommodations as part of this commitment.

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