Billing Manager

Summary

Under the supervision of the Division Director, staff will manage the billing system and team. Duties include but are not limited to: input data for IBHIS, Exym, Server, and other outcomes data, and generate weekly/monthly denied claims/cost/revenue reports.

Essential Functions

§ Manage and troubleshoot EHR/Information System in accordance with DMH protocol

§ Review, manage, and develop billing procedures as needed to maintain compliance with local, state, and federal regulations and streamline operations

§ Coordinate revenue report, invoices and billing for partner agencies

§ Track denied claims for denied codes and provide weekly status update of each denied claim. Troubleshoot any billing issues with denied claims

§ Identify and notify management of denial patterns and issues

§ Prepare financial reports related to billing activities for management review

§ Track voided claims and update Void Claim Reason Collection (VCRC) on a weekly basis

§ Manage, track and resolve denied and voided claims, following through until claim is paid. Provide weekly updates until resolved

§ Recruit, hire, train, and supervise all billing team members

§ Understand how mental health staff in electronic databases (NAPAA, NPPES) affects billing accuracy and completion

§ Attend internal and external meetings and trainings

§ Develop and maintain claim resolution skills through continuous trainings, workshops, and education

§ Maintain and execute confidential information using HIPAA standards

§ Monitor insurance status of clients and sending monthly updates to DMH

§ Perform other tasks and responsibilities as assigned by the Division Director and/or Program Managers, and Program Coordinators

§ Provide linkage with other health facilities (pharmacy, lab, medical offices, partners)

§ Provide timesheet approval report at the end of each pay period

§ Manage and resolve error corrections for Alliance claims and activities

§ Update NAPPA of staff information

§ Set up and update Exym accounts for staff

§ Provide weekly report for denied claims/OHC, related items and update status on resolution

§ Provide monthly productivity reports to program managers

§ Collaborate with QA team to oversee the electronic health record, Exym, for billing, case closures, location, funding sources and productivity updates.

§ Regular attendance

§ Other duties as needed

Minimum Qualifications - Knowledge, Skills and Abilities Required

§ Bachelor’s Degree in business field or another related field.

§ Minimum 2 years of experience in Behavioral Health billing, minimum 5 years total billing, and at least 2 years in a supervisory role,

§ Knowledge: Strong proficiency in use and application of Current Procedural Terminology (CPT) Codes; Strong proficiency in Computer software programs (Experience on Microsoft Word and Excel, Internet; Medi-Cal, Medicare, private insurance etc.)

• Skills: Strong writing and oral (communication) skills are necessary; Strong interpersonal

and social skills; Time management skills necessary; Strong analytical skills, problem

solving abilities and sharp attention to detail; Excellent data management skills

• Abilities: Ability to develop and maintain effective working relations with program and

with community representatives and contractors; Ability to work both independently and

as a member of a team.

• Bilingual skills preferred but not required

• *Verification of Employment Eligibility and Background Check.

Supervisory Responsibilities: Manage and lead the billing team, providing guidance and support as needed

Physical Requirements: The employee is expected to sit, stand, walk, carry a maximum of 20lbs, listen, and speak in order to complete job requirements.

Mental Requirements: The employee must be able to handle any/all of the following: constant distractions, interruptions, uncontrollable changes in priorities/work schedules; be able to process information, think, and conceptualize

Job Type: Full-time

Pay: $31.00 - $40.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

Ability to Commute:

• El Monte, CA 91732 (Preferred)

Work Location: In person

Salary : $31 - $40