Data and Billing Specialist

Transitions Mental Health Asso • San Luis Obispo, CA

just now • $26 - $27

About The Position

The Data & Billing Support Specialist is responsible for supporting the ECM/Community Supports program through accurate data entry, documentation management, billing preparation, and administrative coordination. This position ensures that all data related to services, encounters, authorizations, and billing is entered correctly and in a timely manner, supporting compliance with CenCal Health and DHCS requirements. The ideal candidate is highly detail-oriented, efficient with data systems, and comfortable working with sensitive health information in a fast-paced environment. Prior experience with Medi-Cal, CenCal, ECM, or healthcare billing is highly desirable.

Requirements

• High school diploma or equivalent (AA/AS preferred).
• Strong data entry skills with high accuracy and attention to detail.
• Proficiency with computers, databases, and electronic health records (EHR).
• Ability to maintain strict confidentiality and work with sensitive health information.
• Strong organizational skills, ability to multitask, and comfort working in a fast-paced environment.
• Clear written and verbal communication skills.
• Strong interpersonal skills, collaborative work style and strong oral/written and communication skills.
• Well defined organizational and time management skills.
• Ability to work independently and flexibly.
• Ability to handle intense situations, display good judgment and decision-making skills, and remain calm and clearheaded under pressure.
• Able to work effectively with a variety of people and personality types regardless of age, ethnicity, race, religion, sexual orientation, gender identity/expression or socio-economic level
• Ability to possess and maintain good physical and mental health.
• Ability to work well within a team and maintain a professional, respectful attitude in the workplace.
• Ability to be willing to work with supervisor oversight and direction.
• Attendance is an essential function of this job that requires face-to-face interaction with clients and/or other employees.
• Ability to mindfully promote equality and respect diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us different.
• Demonstrate the ability to successfully deliver culturally responsive services.
• Knowledge of the various dimensions of diversity, including mental health, gender, race and ethnicity.
• Must use reasonable precautions in the performance of one’s duties and adhere to all applicable safety rules and practices while acting in such a manner as to assure at all times, maximum safety to one’s self, fellow employees, clients, and other persons contacted through TMHA business.
• Must be at least 18 years of age; possess a valid CA Driver’s License, at least 2 years driving experience and DMV driving record that meets TMHA’s current vehicle insurance requirements. May be required to utilize reliable personal vehicle and auto insurance.
• Must comply with a TB assessment (possibly a TB test if needed to confirm a negative tuberculosis result) and receipt of a criminal record clearance through fingerprinting.
• Must be able to successfully complete First Aid and CPR training.

Nice To Haves

• Experience working with Medi-Cal, managed care plans, or healthcare billing.
• Knowledge of ECM/Community Supports documentation and encounter requirements.
• Experience working in behavioral health, healthcare, or case management settings.
• Familiarity with billing codes, authorizations, or revenue cycle processes.

Responsibilities

• Enter and maintain ECM and Community Supports service data into the EHR, billing platform, or other required databases.
• Ensure all encounter data is complete, accurate, and meets CenCal and DHCS requirements.
• Track client activity, authorizations, and service timelines to ensure compliance with billing and documentation standards.
• Assist with maintaining client records, uploading documents, and ensuring required forms are completed and filed properly.
• Monitor daily/weekly reports for missing documentation or errors needing correction.
• Prepare and submit encounter data and billing files under the direction of the manager.
• Verify accuracy of units, coding, and documentation prior to billing submission.
• Reconcile services delivered with billable activities.
• Assist with billing corrections, denial research, and resubmissions.
• Maintain logs for billing submissions, payments received, and denials.
• Assist in tracking program metrics, quality measures, caseload data, and performance outcomes.
• Generate regular reports for internal leadership and health plan partners.
• Assist staff with questions about documentation, data reporting, and workflows.
• Support audit preparation by gathering requested documents and running data reports.
• Attend required trainings and support meeting coordination for the ECM team.
• Together with our Quality Assurance Team; ensure all data entry is performed in alignment with HIPAA, PHI handling standards, and agency privacy requirements.
• Follow established policies, procedures, and workflows related to ECM and Community Supports documentation.
• Identify inconsistencies or errors in documentation and escalate to the manager for correction.
• Participate in continuous quality improvement efforts.
• Promote, encourage and maintain trauma-informed practices in all services and activities. Practice and promote, both individually and in team meetings, the Collaborative Communication Guidelines in order to facilitate clear, empathetic and person-centered communication.
• All other duties as assigned by SM FSP Team Leader and Directors.

Benefits

• Includes a generous individual benefits package that includes health, dental, vision, life, 403b retirement (with up to a 5% employer match) paid vacation/holiday time, paid sick time and a variety of helpful employee perks as well.
• A few of our helpful employee benefits include membership discounts to various local fitness centers.
• We offer years of service gift cards to businesses of your choice.
• We offer gift cards for walking, biking, or carpooling to work as well as 20% discount for shopping at our Growing Grounds Downtown Store/Nursey/ Farm.
• We host two employee appreciation events for employees and their families yearly.
• We practice Trauma Informed Care Principles, Guidelines for Collaborative Conversations, and encourage the use of pronouns.
• We mindfully promote equality, respect and diversity of race, gender, sexual orientation, religion, ethnicity, national origin, and all the fascinating characteristics that make us different!
• TMHA is also a pet friendly workplace (upon approval)!

What This Job Offers

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