Billing Systems Manager

MENTAL HEALTH SYSTEMS•San Diego, CA

About The Position

At TURN, our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People, Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. The Billing Systems Manager will oversee billing functions at all programs for unit/service billing entry and reconciliation. The Billing Systems Manager will work with MHS Billers to ensure timely submission into all funder billing systems and work in resolving any outstanding denied or open claims.

Requirements

Experience with Medi-Cal, Short/Doyle or ODS-DMC Medi-Cal billing.
Advanced knowledge of county funder service claim entry systems.
One year experience in County Behavioral Health billing systems and policies.
One year experience in management.
Administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
Experience with CPT and ICD Coding.
Typing at 50 wpm.
Complete basic computer skills using MS Windows operating system, including file back-up and problem troubleshooting.
Word processing skills utilizing MS Word.
Resourcefulness, initiative and the ability to work with minimal direction and supervision.

Responsibilities

Oversee the billing operations of service coding, charge entry, claims submissions, payment postings, accounts receivable follow-up, collections, and reimbursement management.
Audits current procedures to monitor and improve efficiency of billing and collections operations.
Ensures that billing activities are conducted consistently with MHS protocol, Federal, State and local regulations as well as payor guidelines and requirements.
Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to revise policies and procedures.
Provides training to new and existing billing staff on applicable operating policies, systems and procedures, standards, and techniques.
Ensures all MHS Billers enter service claims daily.
Reviews daily billing receipts to monthly system reports.
Assist with MHS Billers with charge correction/denials.
Check billing logs for completion/errors.
Coordinate billing reconciliation process with the MHS Billers.
Generates data reports required monthly by MHS’ Accounting Department and the Program Manager to ensure reimbursement by the Insurance for services rendered.
Collaborates with the programs to monitor billing procedures and conduct utilization review.
Attend Fiscal meetings as assigned by supervisor and communicate with fiscal staff regarding billing units and productivity.
Performs word processing, spread sheet operations and database operations using an MS Windows compatible computer format and MS Office software.