Mental Health Billing Specialist

Florence Crittenton Services of Orange Country Inc; Fullerton (CA); On-site; USD 25,000 - 32,000; Full time

Job summary

Florence Crittenton Services of Orange Country Inc. is seeking a detail-oriented Billing Clerk to process mental health claims and maintain client files within our California program.

You will handle data entry, documentation audits and ensure compliance with state and insurer requirements while coordinating with clinical staff. The role involves exporting EHR data for reports, reconciling denials, and supporting IT/EHR troubleshooting as needed.

Qualifications

• Bachelor’s degree in health care administration, accounting, business, HIT or related field.
• Proven experience with basic office tasks and data entry.
• DMH billing experience preferred.

Responsibilities

• Process mental health billing and data entry; maintain MH files accurately.
• Audit and ensure documents meet Federal, State, County and insurers’ requirements.
• Process program service claims and coordinate with systems for approvals.
• Export data from EHR for weekly/monthly productivity reports.
• Analyze denials and reconcile inputs, services and revenue.
• Support staff training on EHR changes and ensure billing qualifications.

Skills

Office clerical skills

Excel

Word

Data entry

Organization skills

Education

Bachelor’s degree in health care administration, Accounting, Business, Health Information Technology or related field

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.