Mental Health Billing Specialist

Crittenton Services for Children and Families; Fullerton (CA); On-site; USD 25,000 - 32,000; Full time

Job summary

Crittenton Services for Children and Families in Fullerton, CA seeks a Mental Health Billing Specialist to process and audit claims and maintain data entry for the program. You will ensure compliance with federal, state, county, and insurer requirements while collaborating with clinical staff and IT to support accurate billing and reporting.

Export EHR data for productivity and data analysis, review denials, and assist in county reporting.

Qualifications

• Experience with basic office clerical tasks: filing, typing, data entry.
• Proficient in Excel and Word; data entry accuracy.
• DMH billing experience preferred.

Responsibilities

• Process and audit mental health program service claims for correctness and payment.
• Audit, batch and process claims through contracting agencies' systems.
• Interface with clinical staff for new admits and ongoing clients.
• Export EHR data for reports; support billing reconciliation.
• Analyze denials and review paid/denied claims.
• Assist with county reporting such as Service Delivery Plan and Payment Report analysis.

Skills

Data entry

Typing

Organization skills

Office clerical skills

Education

Bachelor's degree in health care administration

Tools

Excel

Word

Job description

Description

Position Summary:

• Position processes mental health billing, data entry process and maintenance of the mental health and files.

Essential Duties:

• Ensure that all Mental Health completed documents comply w/ Federal, State, County and Insurance Co. requirements, review and audit for completeness and accuracy, authorization and eligibility.
• Audit, batch and process Program services claims through respective contracted agencies systems or manual processes and their respective controls to ensure all billable services are valid, accurate and eventually approved for payment.
• Interface with Medical or Clinical staff to provide information on new admits and recurring outpatient clients. Perform follow-up on unauthorized clients.
• Works with appropriate staff to ensure efficiency and accuracy of billing/reporting systems.
• Responsible for meeting departmental processing and reporting deadlines.
• Exports data from EHR to assist with weekly/monthly/as needed reports for productivity and data analysis.
• Provides support to billing reconciliation between inputs and services versus revenue received.
• Analyze, research, reconcile and process denials from payers.
• Review monthly paid, denied, and rejected claims.
• Assures data accuracy through reviewing services and transactions for duplicates and other billing errors; informs involved parties of corrections needed.
• Assist in completing County reporting such as but not limited to: Service Delivery Plan, Settlement, Shifting Analysis, Payment Report analysis.
• Assist in trouble-shooting technical support issues, coordinating with IT and EHR vendor.
• Provides support for staff training of EHR functions/changes.
• Reviews and ensures MH staff have the proper billing qualifications in EHR and NAPPA.
• Assist coordinator to oversee data entry for Electronic Health Record System

Salary Range

$18.00 - $23.40 per hour.

Requirements

Minimum Qualifications:

• Position requires proven experience in basic office clerical skills: filing, typing, organization skills and computer skills (Excel & Word), data entry.
• Bachelor's degree in health care administration, Accounting, Business, Health Information Technology or related field
• DMH billing experience preferred.

Additional Requirements

• Must have and maintain a working vehicle a valid, unrestricted California driver's license and current vehicle insurance.