Billing Specialist

Kids for the Future; San Diego (CA); On-site; USD 34,000 - 36,000; Full time

Benefits offered by this job

PTO (19 days)

Public Service Loan Forgiveness (PSLF)

Paid holidays (12)

Company-paid life insurance

Long-Term Disability

Flexible Spending for health/dental/cc

Employee Assistance Plan

Employee discounts

Growth opportunities

Job summary

Community Research Foundation in San Diego is seeking a Billing Specialist to prepare, review, and submit billing for multiple health plans. This full‑time, non-exempt role requires data review, medical billing, and adherence to contracted timelines with meticulous attention to detail.

You will enter information into EHR systems, follow up on unpaid claims, verify payments, and document outcomes. CRF offers comprehensive benefits, 19 days of PTO, paid holidays, loan repayment assistance, and

Qualifications

• High School/GED diploma with 1+ year of experience with data review, medical billing, health care administration and/or referrals required.
• Experience using Electronic Health Record systems required.
• Professional verbal and written communication skills.
• Excellent attention to detail and accuracy in billing processes.
• Able to demonstrate intermediate level computer skills, specifically with MS Office and Excel.
• Able to learn new software and applications.
• Able to pass criminal/background clearance.

Responsibilities

• Prepare, review, and submit accurate billing using electronic and paper processing within contracted timelines for multiple health plans.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract. Research and appeal denied claims.
• Follow up with insurance companies regarding any discrepancy in payments if necessary.
• Ensure that information about members served, enrollment, disenrollment, eligibility information, outcome data, billing, and other pertinent information is entered accurately into EHR(s) and other documentation platforms within specified time limits.
• Verify monthly service provision requirements are met for payment throughout the month.
• Summary: This position performs a variety of administrative duties including but not limited to billing, data entry, reporting and tracking information for program management.

Skills

Data entry

Billing

MS Office

Excel

Attention to detail

Verbal communication

Written communication

Background clearance

Education

High school diploma

Tools

EHR systems

Billing software

Job description

• Base Pay $24.90 - $26.21 / Hour
• Job Category Administration
• Employee Type FT Non-Exempt
• Required Degree High school

Hours

36 hours per week; Monday - Thursday, 8:30 am to 5:00 pm and Friday, 9:00 am to 1:00 pm

As a Billing Specialist, you will

• Prepare, review, and submit accurate billing using electronic and paper processing within contracted timelines for multiple health plans.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract. Research and appeal denied claims.
• Follow up with insurance companies regarding any discrepancy in payments if necessary.
• Ensure that information about members served, enrollment, disenrollment, eligibility information, outcome data, billing, and other pertinent information is entered accurately into EHR(s) and other documentation platforms within specified time limits.
• Verify monthly service provision requirements are met for payment throughout the month.
• 19 days of PTO and 12 paid holidays per year
• Monthly contribution of $100 towards qualified student loan debt; access to Public Service Loan Forgiveness (PSLF) program for eligible individuals
• Choice of medical plans, with minimal employee cost/expenses and excellent coverage
• Company-paid life insurance and Long-Term Disability
• Tax-Free Flexible Spending for medical/dental/childcare expenses
• Free Employee Assistance Plan
• Employee discount program, including pet insurance plans
• Opportunities for advancement and growth

CRF inspires and mentors the next generation of behavioral health professionals!

Our Central office is in the Mission Bay area. We provide management support services for all of the mental health programs of Community Research Foundation and PERT, Inc. Our Central Office consists of Administration, Human Resources, Accounting, Information Technology, Housing, Real Estate and Facilities, Quality Improvement.

CRF staff members work together to meet the needs of San Diego County's residents who are experiencing mental/behavioral health challenges. We offer a diverse, inclusive workplace that fosters personal growth and development. You will work within a collaborative, supportive team structure, learn new ways to provide optimal supports to your clients and help people change their lives for the better!

Education

High School/GED diploma with 1+ year of experience with data review, medical billing, health care administration and/or referrals required.

Additional Qualifications and Skills

• Experience using Electronic Health Record systems required
• Professional verbal and written communication skills
• Excellent attention to detail and accuracy in billing processes
• Able to demonstrate intermediate level computer skills, specifically with MS Office and Excel.
• Able to learn new software and applications
• Able to pass criminal/background clearance

Summary

This position performs a variety of administrative duties including but not limited to billing, data entry, reporting and tracking information for program management. Ensures timely and accurate data entry, performs data validation and quality control checks, creates and generates reports, and performs analysis and reconciliation of data. Tracks data related to outcome measures to monitor program compliance. Completes billing as assigned.