MENTAL HEALTH BILLING COORDINATOR
QUALITY ASSURANCE DEPARTMENT - BERKELEY
Role:
Under the supervision of the Quality Assurance Supervisor, the part-time Mental Health Billing Coordinator is responsible for coordinating the mental health billing for Alameda, Contra Costa, San Francisco, and Solano County Mental Health Programs. This position will be responsible for ensuring mental health billing is completed in a timely fashion, process and follow up on denied claims, run internal and external finance related reports, supply reports to Mental Health and Finance Teams, and collaborates with the all Mental Health Teams on billing related tasks.
The Mental Health Billing Coordinator is also responsible for helping to maintain client’s electronic health record as it relates to claim reporting information. Working directly with the Quality Assurance Department and Service Coordinators in the programs ensures client’s electronic health record will contain comprehensive and accurate claim data and client case information. The Mental Health Billing Coordinator supports the strategic objectives of the Quality Assurance Supervisor and participates in a wide variety of program support activities.
Duties and Responsibilities:
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Each month leads the mental health billing and reporting processes
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Process, submit, and ensure timely upload of billing claims for San Francisco and Solano County
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Manually enter the claims for Contra Costa and Alameda County into the counties respective EHRs on a weekly basis.
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Utilize A Better Way and County’s Electronic Health Record to run client and billing report and monitor potential issues.
- Ensure A Better Way and county EHR systems are accurate as it relates to claim data and other data elements that impact claims.
- Coordinator with program service coordinators to resolve errors on claims before they go into the billing file and claims that were rejected from the billing files.
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Work collaboratively with Mental Health, Quality Assurance, Data, Finance, and Executive Leadership Teams
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Works collaboratively with the agency’s EHR vendor and county EHR contacts to resolve electronic system issues
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Address and resolve any and all billing discrepancies or issues (including but not limited to appropriate claim correction forms after claims have been submitted to county) for Alameda, Contra Costa, San Francisco, and Solano County when needed.
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Liaison with the County as it relates to processing claims, billing, and finance reports
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Ensure client service data and case information is recorded accurately and comprehensively in the agency’s electronic health record systems and other internal databases
- Work closely with the behavioral health team to ensure seamless integration of billing and clinical operations.
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Attend appropriate county-based meetings, internal staff meetings, supervision and other assigned meetings to ensure they are up-to-date on the current regulations and upcoming changes.
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Maintain up-to-date documentation on all processes.
- Maintain clear and professional communication with healthcare providers, patients, and insurance companies.
- Providing clear and detailed communication to the QA, Programs, and Executive Leadership team about the status of the each counties billing and potential concerns on an ongoing, monthly, or when requested basis.
- Follow regulatory guidelines, mandated reporting, and program/agency protocols in performing duties.
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Contribute to process improvement initiatives.
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Abide by all provisions of the A Better Way personnel manual
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Perform any other duties as directed
Qualifications:
- Ability to work both independently and collaboratively with multiple teams
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Ability to navigate and maintain accurate electronic health records
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Proficient with Microsoft Office and Electronic Health Records
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Excellent organizational, computer and communication skills
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Excellent problem-solving skills with the ability to effectively prioritize and execute tasks
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Maintains strong work ethic and boundaries around non-negotiable task deadlines
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Outstanding instructional, presentation and interpersonal skills
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Understanding of HIPAA compliance and follows agency practices to ensure client’s privacy is maintained
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Knowledge, understanding, and willingness to work with interdisciplinary approaches and partnerships
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Knowledge and experience working in non-profit organizations, particularly ones that work with children and families
- Ability to pass various background checks necessary to work in child and family setting
Work Environment
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While performing the duties of this job, the employee regularly works in an office setting.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel, or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to stand, talk and hear.
Position Type/Expected Hours of Work
This is a part time position, that requires approximatively 30 hours a week. Days and hours of work are irregular and vary depending on billing needs. Dependable and consistent work attendance is absolutely necessary. Blackout dates apply to time off requests due to the nature of the work.
Work Authorization/Security Clearance
Employees must pass a background check and receive TB and health clearances prior to employment. Compliance with organizational vaccination policy required.
A Better Way is committed to workforce diversity. Qualified applicants will receive full consideration without regard to age, race, color, ethnic background, religion, gender, sexual orientation, HIV-status, national origin or disability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.