Revenue Billing Specialist

www.all4kids.org

Want to work for an award-winning non-profit organization that continues to be recognized for making a positive impact in communities? Come find out why Los Angeles Business Journal is calling us one of the "Best Places to Work!"

With more than a century of experience, Children's Bureau is a trusted nonprofit leader in strengthening vulnerable children, their parents and the communities in which they live. We thrive on innovation, thinking differently and bringing life-changing moments to those in need.

Understanding Our Core Values:

• Collaboration: We view responsibilities as shared and provide support, feedback, motivation to others.
• Equity Mindset: We stand by building an inclusive and equitable working environment. We believe everyone here within the organization enriches our diversity by exposing us to a broad range of ways to understand and engage with the world.
• Mission-Driven: We performs duties in a manner that exemplify the Mission and Vision and ensure customer satisfaction. Customers of Children's Bureau are defined as clients, families, co-workers and vendors.
• Ownership: We effectively manage our own work, and the work of our teams when relevant, ensuring delivery of high-quality work.
• Initiative: We proactively seeks opportunities to develop self and serve the organization.
• Communication: We demonstrate empathy and listening.

Benefits and Perks:

• Robust benefits package
• Generous paid time off and a culture that promotes work life balance.
• Selfcare opportunities, employee engagement initiatives and an extensive health and wellness program offered for all staff.
• A culture that cultivates learning and promotes growth and development through our award-winning internal university.
• Trauma Informed Resilience Oriented Care (TIROC): We build trust for our communities by implementing trauma informed values in the work that we do.
• Recognized as "DEI Non-Profit of the Year" by Los Angeles Business Journal

Take a sneak peak into our Children's Bureau culture! (click here)

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Children's Bureau of Southern CA proudly is committed and supportive of complete pay transparency. The position of Revenue Billing Specialist $24 - $26 an hour.

Must have Covid-19 Vaccine and Booster.

Learn more about the Job:

The Revenue Billing Specialist role is to ensure that all unbilled claims are processed and submitted in a timely manner. This includes researching claiming issues, coordination with other staff on issue resolution, and monitoring/reporting status of claims. This role is responsible for researching, troubleshooting, and resolving claim denials to successfully rebill the claims. This role requires knowledge of the LA County Department of Mental Health (DMH) billing process, claiming requirements, policies, and standards.

This role works closely with the Regional Revenue Manager, Revenue, Program, Quality Assurance (QA), and Information Systems (IS) teams to address billing issues, and for timely and accurate reporting of revenue status updates. This role may also be required to drive to several Children's Bureau sites for coverage.

Job Responsibilities:

• Enters and verifies accuracy of client information as it relates to billing components within the agency's Electronic Health Record (EHR) system. Collaborates with other departments on related client data and processes.
• Collaborates with the Regional Revenue Manager, Revenue, Program, Quality Assurance (QA), and Information Systems (IS) teams to problem solve any obstacles to effective and timely billing and resolve any interface concerns.
• Notifies Regional Revenue Manager of any problems related to IBHIS, EDI and billing.
• Performs functions related to Electronic Data Interchange (EDI) for submitting electronic claim files and processing claim status/payment return files.
• Works on claims that are denied by DMH. This includes researching and communication with DMH on the proper procedures in billing claims.
• Review's clients Medi-Cal, OHC, and Third Party insurance eligibility. Assists with updating client records and troubleshooting issues related to their eligibility status within the EHR system.
• Provides timely and accurate reporting for revenue and claims. May be assigned to perform some data analysis as it relates to revenue, claiming, and dashboard reporting.
• May be assigned as primary or secondary responsible for processing clients with Other Heath Coverage (OHC) and/or for Third-Party insurance billing.
• May be assigned other duties and special projects related to other department processing needs, including other types of LA County DMH billing such as flex funds and other manual invoices.
• May provide administrative and clerical support at various agency locations and to support the needs of the Revenue department.
• Attends designated internal meetings, committees, and external meetings and trainings related to LA County DMH billing.

General

• Maintains confidentiality in matters of agency operations, personnel, and clients.
• Maintains positive communications with all agency staff, clients and visitors.
• Supports existing agency policies, principles and mission.
• Other related duties as assigned.

Job Qualifications:

• Minimum Three-years' experience with LA County DMH and Medi-Cal billing.
• Electronic Health Record system (EHR) experience required. Prior experience with Welligent or Exym is preferred.
• A High School diploma or equivalent
• Two-years experience in data entry and claims processing related to healthcare billing required
• Computer literacy including Microsoft Windows, Office, Teams, or other related applications/programs experience.
• Basic understanding of EDI and billing system interfaces.
• Good verbal and written communication skills
• Team player, collaborates well with others, and ability to adapt to changing environments, workflows, and processes.
• Ability to perform general administrative duties, including office machines, record-keeping and filing
• Bilingual in English/Spanish is a plus
• Strong team and organizational and time management skills
• Ability to work in a multi-cultural environment required