Billing Specialist

CFGC Career • Northridge, CA

9d • $18 - $20

About The Position

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 Billing Support Specialist. 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

Requirements

• 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.
• High School Diploma or GED required.

Nice To Haves

• Bachelor’s or Associate's Degree in relevant field preferred.

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.

Benefits

• CFGC promotes professional development and a healthy work-life balance
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees