Data and Billing Coordinator - Pediatric Clinic
About The Position
The Data and Billing Coordinator gathers, reviews, and approves internal billing claims; sets up, verifies, and updates insurance account information; verifies eligibility; and prepares related billing claims data reports. The coordinator oversees medical billing claims submission through an electronic data interface (EDI), serves as a liaison with the LA County Department of Mental Health (LAC-DMH) and Medi-Cal, and tracks and monitors billing claims and approvals. The role also provides monthly report analysis to the Department Director and assists with year-end final reports. The coordinator manages activities related to the Electronic Health Record (EHR) application, including user training, maintenance, application enhancements, developing reports, and problem solving. The role also serves as a liaison with the software vendor and as lead trainer.
Requirements
- Bachelor’s degree in Computer Science or a related field.
- Experience with Electronic Health Record (EHR) systems.
- Working knowledge of Medi-Cal and/or third-party billing and reimbursement.
- Knowledge of billing requirements and collection regulations for Federal, State, and local agencies and third-party submissions.
Responsibilities
- Gather, review, and approve internal billing claims.
- Set up, verify, and update insurance account information.
- Verify eligibility.
- Prepare billing claims data reports.
- Coordinate medical billing claims submission via electronic data interface (EDI).
- Serve as liaison with the LA County Department of Mental Health (LAC-DMH) and Medi-Cal.
- Track and monitor billing claims and approvals.
- Provide monthly report analysis to the Department Director.
- Assist in preparing year-end final reports.
- Coordinate activities related to the Electronic Health Record (EHR) application, including user training, maintenance, application enhancements, report development, and problem solving.
- Serve as liaison with the software vendor and as lead trainer.
