Billing Specialist (Temporary)

• Data entry and analysis of various information into several data system/programs in a timely manner.
• Verify Medi-Cal eligibility at the beginning of each month for all active clients.
• Monitor and track billing errors and conduct necessary steps to ensure these errors are adjusted by the billing due date.
• Take the lead in working closely with Chief Operating Officer (COO), Directors, Manager, Program Staff, other Billing Specialist, and all other DMH and DMC staff to clear billing errors.
• Complete, update, and enter all data on-line, into DMC and DMH required websites, ensuring billing program staff are/remain current rendering providers
• Work closely with Supervisor to track and meet contract/funder deadlines and tasks.
• Maintain accuracy and consistency in tracking systems; timekeeping, external reports/letters and client files.
• Conduct reviews to ensure information and records are consistent with program standards and requirements.
• Upload billing files into DMC and DMC County billing system, based on County monthly due dates.
• Prepare a monthly “Pending Activities Report” for DMH departments.
• Track and make corrections to “claims with problems” in Exym software.
• Create monthly reports that include payment status of program billing.
• Track, monitor, and correct denied claims on a daily basis, to minimize recoupment of billing.
• Responsible for requesting and tracking all agency staff “C” numbers that provide access to County websites/software.
• Responsible for scheduling CARF quarterly billing meeting, taking notes and producing a CARF quarterly report.
• Prepare monthly program reports to track revenue and expenses.
• Manage the County IBHIS billing system as required by the County for Medi-Cal billing and Mental Health billing.
• Enter and submit DMC and DMH claims either electronically or by hard copy.
• Enter and update client data to County IBHIS billing system, including but not limited to client admissions/discharges.
• Maintain confidentiality of all information; adheres to HIPAA guidelines.
• Provide support to the CARF accreditation process including coordinating training, tracking training, researching and developing new policies and procedures.
• Attended required trainings for CARF, Agency, DMC, and DMH.
• Assist in the preparation of reports necessary for contract(s) requirements/request.
• Assist with preparing annual cost reports for DMC and DMH.
• Complete county reports as requested.
• Adhere to Agency Policies and Procedures.

POSITION REQUIREMENTS
To perform effectively in this position, the individual must have:

• High school diploma, G.E.D. or equivalent. Experience with nonprofits preferred.
• Strong organizational skills and ability to prioritize workload to meet tight deadlines in a fast-paced and dynamic work environment.
• Ability to demonstrate attention to detail including accuracy in record-keeping and filing.
• Proficient in Microsoft Office (Word, Power Point, especially Excel) and Financial Edge.
• Hands-on detail-oriented tasks.
• Ability to work well as a team unit and collaborate job responsibilities with various departments and County representatives
• Team player and can collaborate with other teams in the organization.
• High level of interpersonal skills with demonstrated poise, tact and diplomacy.
• Demonstrate a proficient level of professional skills and/or knowledge in customer service and front office duties.
• Knowledge and ability to use applicable information technology and systems to meet work needs.
• Excellent communication skills, written and verbal, with the ability to clearly communicate issues to all levels of management.
• Demonstrate a proficient level of professional skill and/or knowledge in accounts payable.
• Fingerprint check for criminal history background and receive a clearance from a law enforcement agency, and training on child abuse reporting procedures.
• Current and valid drivers' license and proof of current auto insurance.