Billing Specialist

Company: Foothill Family
Location: Pasadena
Posted on: May 28, 2023

Job Description:

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Temporary Pasadena, CA, US 7 days ago Requisition ID: 1194 Salary Range: $17.39 To 24.35 Hourly SUMMARY Performs data entry functions in order to initiate and maintain client records. Prepares and analyzes reports as mandated by the Department of Mental Health contract or as assigned. -ESSENTIAL DUTIES AND RESPONSIBILITIES

• Supports and promotes the mission of the Agency: Foothill Family empowers children and families to achieve success in relationships, school, and work through community-based services that advance growth and development.
• Creates electronic records in IBHIS.
• Creates episodes in IBHIS.
• Creates pay source plans in Welligent.
• Runs monthly the 271 Report for Medi-Cal Eligibility for all clients not eligible for services.
• Notifies monthly the Sites Directors and Supervisors of clients not eligible for Services.
• Processes -the DMH County Denial Report to rebill claims to the state.
• Processes Change of Information Forms in Welligent.
• Processes Lead Clinician Report in Welligent.
• Processes claims to be voids when needed.
• Processes the PFI Annual Charge Period Report.
• Processes the Previous Week Discharge Pay sources for DMH Clients.
• Processes Payments for Self Pay Clients. -
• Verifies Emdeon System in Welligent for rejected insurance claims.
• Processes all Explanation of Benefits (EOB) insurance claims.
• Transfers insurance claims to Medi-Cal claims to be submitted to the Department of Mental Health.
• Processes INS-Claims that are passed 90 days.
• Processes Welligent Pay Source Eligibility, for Other Health Care (271/echecker) report.
• Processes Welligent Program Admit report daily for new client.
• Calls insurance companies for claim verification.
• Mails out insurance claims using the 1500 insurance forms when needed.
• Serves as back up to all Billing Specialists.
• Represents the Agency in interactions with the Department of Mental Health and other agencies.
• Displays sensitivity to the service population's cultural and socioeconomics characteristics.POSITION REQUIREMENTS
  • High school diploma or general education degree (GED); some college preferred.
  • Expertise in business and data entry.
  • Detail orientated; high level of accuracy.
  • Ability to perform simple and repetitive tasks.
  • Good oral and written communication skills.
  • Ability to respond to staff in a friendly, positive and tactful manner.
  • Intermediate to advanced data entry and 10 key calculator skills
  • Intermediate to advanced computer skills, with an emphasis on Excel.
  • Organized; ability to manage several tasks simultaneously.
  • Ability to be flexible and take initiative.
  • Ability to add, subtract, multiple and divide and prepare spread sheet formulas.
  • Computer literate; word processing, spreadsheets and data entry.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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Keywords: Foothill Family, Pasadena , Billing Specialist, Accounting, Auditing , Pasadena, California