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.

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

Skills

• 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
• Familiarity with CalAim, MCP-specific nuances, and Enhanced Care Management billing categories

Company Overview