Child and Family Guidance Center | CFGC · 17 hours ago
Billing Specialist
Child and Family Guidance Center (CFGC) is a leading provider of community mental health and social services. They are seeking a full-time Billing Support Specialist to ensure the accuracy of client information, manage Medi-Cal eligibility, and handle billing for third-party payers.
ChildrenFamilyHealth CareMental HealthNon Profit
Responsibilities
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
Daily, reviews EHR error report, Activities Needing Attention, and addresses errors in order for billing to be processed for payment
Review and submit claims for clients with OHC to third party payers using EHRS EXYM and Availity on a weekly basis
Verifies insurance coverage for clients with OHC and sends invoices
Sends out and follows up on CMS1500 forms as needed
Qualification
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
High School Diploma or GED required
Preferred
Experience with EHRS, EXYM, and Department of Mental Health (DMH) billing procedures highly preferred
Bachelor's or Associate's Degree in relevant field preferred
Benefits
Educational Assistance Reimbursement
Great training/learning opportunities
Supportive, friendly work environment that prioritizes YOU
Work-life balance – flexible time off policies
Committees and workgroups that always strive to make CFGC’s workplace culture the best it can be.
Premier Benefits including medical, dental, vision, life insurance, identity theft protection, Tickets at Work discount services, and even pet insurance policies!
Employees in this role may be eligible for the Public Service Loan Forgiveness (PSLF) program
Company
Child and Family Guidance Center | CFGC
Child and Family Guidance Center (CFGC) is proactively creating wellness through innovative mental health services, prevention and early intervention programs.