Billing & Administrative Support (IOP/PHP Program)

Casa De Amparo; San Marcos (CA); Presencial; USD 34 000 - 39 000; Tempo integral

Resumo da oferta

Casa de Amparo seeks an Administrative Specialist to provide billing, clerical, documentation and credentialing support for its IOP/PHP programs in San Marcos, CA. You will assist with intake, eligibility, scheduling and chart management in a HIPAA-compliant environment.

You will coordinate with program staff and billing to ensure accurate data, timely claims and QA tracking, while maintaining professional communication with clients, families, and County representatives.

Qualificações

• High school diploma or equivalent required.
• Associate’s degree or coursework in business administration, health care administration, behavioral health, medical billing, or related field preferred.
• Experience with Medi-Cal, County behavioral health billing, electronic health records, claims support, authorization tracking, client records, and/or HIPAA-compliant documentation preferred.
• Must possess strong interpersonal, time-management, organizational, written/verbal communication skills, attention to detail, and intermediate computer literacy.
• English proficient/Bilingual Spanish preferred.

Responsabilidades

• Provide billing, administrative, clerical, documentation, credentialing and QA support for the IOP/PHP programs.
• Assist with client intake, referral tracking, scheduling, file setup and eligibility verification.
• Support authorization, utilization management, documentation tracking and billing workflows.
• Monitor documentation, signatures, due dates, treatment plan updates, and chart requirements.
• Enter, maintain and update information in the electronic health record and data systems.
• Prepare program logs, reports, rosters, schedules and training records.
• Assist with tracking clinician productivity, program attendance and service hours for reporting.
• Communicate with clients, families, providers, and County partners professionally and confidentially.
• Assist with audits, reviews and QA activities to ensure compliance.
• Coordinate with program managers, QA, billing staff and HR to support workflows.

Conhecimentos

Interpersonal skills

Time management

Organizational skills

Written/verbal communication

English proficient / Spanish bilingual

Formação académica

High school diploma or equivalent

Associate’s degree or related coursework preferred

Health care administration coursework

Ferramentas

Electronic Health Records (EHR)

Medi-Cal/County billing

HIPAA compliance

Authorization tracking

Claims support

Descrição da oferta de emprego

Job Details: Job Location: MAIN OFFICE CKC ADMIN - San Marcos, CA 92069, Position Type: Full Time, Salary Range: $25.00 - $28.00 Hourly, Job Category: Admin - Clerical, Provides billing, administrative, clerical, documentation, credentialing, and quality assurance support for Casa de Amparo’s combined Intensive Outpatient Program (IOP) and Partial Hospitalization Program (PHP), as well as other assigned Casa de Amparo behavioral health programs. Supports the Program Manager and program staff with client records, authorizations, billing readiness, claim support, data tracking, scheduling, communication, credentialing support, QA tracking, audit preparation, and general program operations in accordance with Medi-Cal, County, HIPAA, contract, accreditation, and agency requirements.

Support the Program Manager with daily administrative operations of the IOP/PHP Program.

Assist with client intake, referral tracking, scheduling, file setup, demographic information, eligibility verification, and administrative follow up.

Support authorization, utilization management, documentation tracking, billing readiness, and claims-related workflows in coordination with the Program Manager, Quality Assurance, and billing staff.

Monitor documentation completion, missing items, signatures, due dates, treatment plan updates, discharge documentation, transition of care documentation, and other chart requirements as assigned.

Enter, maintain, and update information in the electronic health record and other approved data systems accurately and timely.

Prepare and maintain program logs, reports, rosters, schedules, meeting materials, training logs, and other administrative records as assigned.

Assist with tracking psychiatrist contacts, clinician productivity, program attendance, service hours, treatment days, and other data needed for contract reporting and billing support.

Support communication with clients, families/support systems, providers, County representatives, and community partners in a professional and confidential manner, as appropriate and authorized.

Assist with preparation for chart audits, County reviews, accreditation activities, and internal quality assurance activities.

Maintain organized program files and ensure information is handled in accordance with HIPAA, confidentiality, and agency requirements.

Support administrative, documentation tracking, billing readiness, and quality assurance functions for other Casa de Amparo behavioral health programs as assigned, including new and developing programs.

Assist with agency-wide behavioral health QA and compliance activities, including chart audit preparation, corrective action follow up, credentialing/re-credentialing support, provider enrollment tracking, training documentation, and maintenance of required logs and records.

Coordinate with the IOP/PHP Program Manager, Quality Assurance, billing staff, Human Resources, and other program leadership to support consistent administrative workflows, documentation practices, billing processes, and program implementation needs across assigned behavioral health programs.

Attend staff meetings and in-service trainings as required.

Adhere to Casa de Amparo’s Code of Ethics, Policies & Procedures, and Employee Handbook.

Perform other tasks as assigned.

Qualifications:

• Must be able to be associated with Casa de Amparo through Community Care Licensing (CCL), if applicable to the program/site, which typically includes clearance by FBI, DOJ and CACI.
• High school diploma or equivalent required. Associate’s degree or coursework in business administration, health care administration, behavioral health, medical billing, or related field preferred.
• Minimum two years administrative, medical office, behavioral health billing, or related experience preferred.
• Experience with Medi-Cal, County behavioral health billing, electronic health records, claims support, authorization tracking, client records, and/or HIPAA-compliant documentation preferred.
• Must possess strong interpersonal, time-management, organizational, written/verbal communication skills, attention to detail, and intermediate computer literacy. English proficient/Bilingual Spanish preferred.
• Ability to maintain confidential information, organize multiple priorities, meet deadlines, and communicate professionally with clients, staff, providers, and County representatives.
• Must have ambulatory, auditory, and visual skills to observe clients and staff.
• Must have the physical ability to participate in activities and perform related physical skills, including, but not limited to, crouching, lifting 50 pounds, crawling on hands and knees, and walking up and down stairs.
• Ability to comply with all employment requirements including, but not limited to CPR/First Aid, physical, TB and drug screen clearance, clear DMV record and approval from insurance carrier to drive agency vehicles. Must provide proof of immunization against influenza, pertussis, and measles.
• Must be at least 21 years of age.