Description

As a Billing Analyst, you will:

• Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County documentation and billing requirements.
• Run reports from the designated electronic health record (EHR) to assist program in complying with County and state documentation and billing requirements, perform data validation, and conduct quality control checks.
• Provide oversight and track all billing and coding corrections to ensure accurate and timely billing for designated program/ program staff.
• Work closely with clinical staff, programs and billing department to resolve billing issues and ensure smooth operations.
• Serve as a Medi-Cal billing expert for CRF program staff. Provide consultation and feedback to program management and direct care staff regarding accurate billing and documentation practices.
• Verify patient insurance eligibility and benefits for Medicare and Medi-Cal.
• Provide updates to management on claim billing status, trends and outstanding errors.
• Maintain a high level of confidentiality.

Requirements

Education: High School diploma/GED required.

Associates degree (or higher) in health information, Medical Billing, or similar field strongly preferred. Registered Health Information Technician (RHIT) preferred.

Experience: Two years of full-time experience maintaining medical records of clients, preferably in a mental health setting, including one year of experience generating reports, data analysis, auditing, and compliance. OR One year of recent experience and Associate's degree (or higher) in health information, Medical Billing, or similar field.

Additional Qualifications and Skills

• Administrative support experience to include a high level of demonstrated organizational and communication (written and verbal) skills.
• Knowledge of medial terminology used in mental health programs required, as well as terms, concepts, and principles of privacy and confidentiality
• Accurately depict ICD-10, CPT and HCPCS codes for mental health services based on clinical documentation and diagnosis forms.
• Experience with Electronic Health Record (EHR) required
• Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
• A valid California drivers license in good standing, personal vehicle, proof of insurance is required to fulfill the essential functions of this position.
• Able to pass criminal/background clearance