Turning Point Community Programs · 2 days ago
Billing Specialist
Turning Point Community Programs is seeking a Billing Specialist to manage and optimize their billing processes. The role involves tracking payments, correcting billing discrepancies, and ensuring accurate coding for billing to minimize denials.
Health CareMedicalMental HealthNon Profit
Responsibilities
Tracks all payments and denials
Works cooperatively with programs to maximize billing and minimize denials
Monitors billing errors and works with staff to correct any EHR data issues that affect billing
Tracks and monitors billing discrepancies
Provides billing status reports upon request
Works collaboratively with programs and departments to correct discrepancies and maintain the accuracy and timeliness of billing and reporting
Works collaboratively with Managed Care Plans and other payors to submit, correct or void billing in a timely manner
Ensures that coding for billing is accurate and that billing is accurate so as to avoid rejection
Performs Medi-Cal, Medicare eligibility verification
Assists with ensuring that programs meet the billing standard monthly
Assists with data entry in EHR as needed
Provides billing training and support to program support staff as needed
Maintains orderly, accurate records and documentation
Safely travels on agency business using personal vehicle
Maintains clean driving record as well as currency in driver’s license and vehicle insurance/registration
Travel between sites as needed
Qualification
Required
At least one (1) year of experience with an EHR with emphasis and education in Managed Care Plan and Medicare/Medicaid/Medi-Cal billing and coding
Must have knowledge of the public mental health system, ICD codes, CPT/HCPCS and EOB adjudication codes
Must be able to type 40-50 wpm
Must be computer literate
Must be proficient in Microsoft Word, Access, and Excel
California driver's license & current vehicle insurance/registration if driving
Reliable means of transportation capable of passing vehicle safety inspection if more than five years old excluding all modes of two-wheeled transport inclusive of bicycles, mopeds and motorcycles
Preferred
Familiarity with CalAim, MCP-specific nuances, and Enhanced Care Management billing categories