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Billing Specialist (Temp)

CFGC • Northridge, CA 91325 • Posted 8 days ago

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In-person • Full-time • $18.00/hr • Temporary • Contract • Entry Level

Job Highlights

Using AI ⚡ to summarize the original job post

Child and Family Guidance Center (CFGC) is seeking a full-time temporary Billing Specialist for our billing department. This role is responsible for ensuring the accuracy of client information, MC eligibility, and funding entered on the EHR and IBHIS system, billing third-party payers, and creating reports of ineligible clients. The position reports directly to the Billing and Compliance Manager and Billing Specialist Lead and plays a crucial role in changing lives and extending our reach.

Responsibilities

  • Reviews and reconciles client's information for new cases entered in the EHR and IBHIS system.
  • Responsible for checking new client's MC eligibility.
  • Downloads MC eligibility from Covivitas into the EHR every 1st and 15th of the month.
  • Verifies clients coming up as MC ineligible and corrects claims due to ineligibility as required.
  • Creates a monthly list of DMH clients that become ineligible for Medi-Cal funding and submits report to the Community Outreach Manager and Administrative Manager.
  • Processes funding shifts on claims needing change of payers or programs, or others.
  • Review and submit claims for clients with OHC to third party payers using EHRS EXYM and Availity on a monthly basis.
  • Verifies insurance coverage for clients with OHC and sends invoices.
  • Sends out and follows up on CMS1500 forms as needed.
  • Follows up on outstanding balances from clients with an assigned fee.
  • Provides back up support to other billing staff as needed and/or assigned.

Qualifications

Required

  • Computer literary including proficiency in Microsoft Office Applications, such as Excel, Word, and Access.
  • Ability to work collaboratively in a team-based setting
  • Detail-oriented, analytical, demonstrate accuracy and thoroughness, resourceful, reliable, able to adhere to deadlines, self-starter and be able to work independently.
  • Must have a good sense of judgment as pertaining to the position.
  • Must have relevant medical billing experience, preferably in mental health.
  • Experience with EHRS, EXYM, and Department of Mental Health (DMH) billing procedures highly preferred.
  • Bachelor's or Associate's Degree in relevant field preferred. High School Diploma or GED required.

Full Job Description

About Us & Why We're Hiring

We empower children, youth and families to flourish in vibrant communities.
  • Child and Family Guidance Center (CFGC), established in 1962, is a leading provider of community mental health and social services in the San Fernando and Antelope Valleys
  • Our mission is to empower children and families to achieve health and well-being through innovative mental health services.
  • We serve thousands of children and families annually
  • We are inspired by our staff of caring and committed professionals
  • We are seeking passionate people to join our team

If our mission resonates, keep reading.
  • As part of our team, you will join us in providing a continuum of prevention, early intervention, and intensive treatment services to children and families.
  • We offer services in our offices, at schools, and in homes.
  • Together, we seek to create stronger, more resilient communities
  • Your role will center around changing lives, extending our reach, deepening our impact, and building meaningful outcomes for those seeking help.

The Position:

We are seeking a full-time temporary Billing Specialist for our billing department. This position reports directly to the Billing and Compliance Manager and Billing Specialist Lead. This position is primarily responsible for accuracy of client information, MC eligibility, and funding entered on the EHR and IBHIS system, billing third party payers, and creating a report of ineligible clients.

What You'll Do:
  • Reviews and reconciles client's information for new cases entered in the EHR and IBHIS system.
  • Responsible on checking new client's MC eligibility.
  • Downloads MC eligibility from Covivitas into the EHR every 1st and 15th of the month.
  • Verifies clients coming up as MC ineligible and corrects claims due to ineligibility as required.
  • Creates a monthly list of DMH clients that become ineligible for Medi-Cal funding and submits report to the Community Outreach Manager and Administrative Manager.
  • Processes funding shifts on claims needing change of payers or programs, or others.
  • Review and submit claims for clients with OHC to third party payers using EHRS EXYM and Availity on a monthly basis.
  • Verifies insurance coverage for clients with OHC and sends invoices.
  • Sends out and follows up on CMS1500 forms as needed.
  • Follows up on outstanding balances from clients with an assigned fee.
  • Provides back up support to other billing staff as needed and/or assigned.
  • Hours: Monday-Friday 8:00 am- 5:00 pm, 1-hour meal period
  • Temporary Contract: 3-month to 4-month term as needed
  • Salary: $18.00 per hour

Qualifications
  • Computer literary including proficiency in Microsoft Office Applications, such as Excel, Word, and Access.
  • Ability to work collaboratively in a team-based setting
  • Detail-oriented, analytical, demonstrate accuracy and thoroughness, resourceful, reliable, able to adhere to deadlines, self-starter and be able to work independently.
  • Must have a good sense of judgment as pertaining to the position.
  • Must have relevant medical billing experience, preferably in mental health.
  • Experience with EHRS, EXYM, and Department of Mental Health (DMH) billing procedures highly preferred.
  • Bachelor's or Associate's Degree in relevant field preferred. High School Diploma or GED required.

We're building a diverse, inclusive team
  • You're welcome here. We want CFGC to reflect the diversity of our community and flourish together.
  • CFGC is committed to Equity, Diversity, and Inclusion and strives to create a diverse, welcoming and supportive workplace

*This job posting includes a summary of duties, responsibilities, and qualifications for this position. It is not a complete job description and is subject to change based on the needs of the center.