POSITION DESCRIPTION: Under VP Finance supervision the mental health Billing Supervisor oversees the billing processes for mental health services, ensuring accuracy, compliance with regulations, and timely payment. This role involves supervising billing staff and resolving complex billing issues. Responsibilities include staff training, performance monitoring, and reporting on billing metrics.
REQUIREMENTS &
QUALIFICATIONS:
- High school diploma or GED
- A combination of training and experience equivalent to 5 plus years that exhibits the knowledge, skills, and abilities necessary to perform the essential duties of this position
- Hybrid Schedule. Flexible work from home; however, must work in office at minimum sixty percent of the time at North Hollywood site
- Advanced computer skills, Microsoft Office, Word, Excel, Power point, Outlook
- Strong time management and organizational skills
- Strong communication skills verbally and in writing
- Highly proactive and takes initiative
- Strong analytical skills
- Strong management skills
- Team player
DUTIES
AND RESPONSIBILITIES:
- Manages and coordinates the day-to-day activities and infrastructure of the centralized billing department.
- Responsible for managing the in-house billing system, client eligibility assessment and the entire claims submission process, client and third-party payment billing and tracking, and reimbursement/reconciliation management.
- Ensures compliance with all applicable contracts and laws.
- Supervises a diverse team of staff including reimbursement/reconciliation staff, data entry staff, and third-party payer specialists, if applicable.
- Provide training and support to team members.
- Thorough understanding of all procedure codes for Mental Health services. Be able to determine the proper procedure codes/add on codes/modifiers needed for different types of service.
- Thorough understanding of the electronic health care system including client chart set up, note template set up, rate building, funders and funding source set up, billing process set up, claim files, reports, etc.
- Thorough understanding of the contract agreements with funder(s) and complying with billing requirements.
- Thorough understanding the claiming process and all internal and external billing and claims related reports and tables.
- Actively participate in discussion and provide constructive input in electronic health records system set up and changes according to billing needs.
- Evaluate the billing process and workflow, including but not limited to pre-billing review/correction, claim submission, troubleshooting, resolve and rebill denied claims, monitoring claim status changes, etc. Implement changes and improvements to procedures and workflows as needed.
- Maintain and update the billing manual.
- Proactively seek and attend training for the billing team to stay up to any changes in the industry and improve related knowledge.
- Monitor contract funding utilization. Initiate and submit requests for additional funding to funders. Adjust billing as needed.
- Analyze claims to determine program revenues. Perform other analysis and tracking as needed and/or assigned by supervisor.
- Perform regular claims reconciliation between internal system and funder data (DMH EFT, etc.). Identify and resolve discrepancies.
- Participate in internal and external meetings as representative of the billing team.
- Act as liaison between TVFS billing department and DMH CMMD.
- Support the finance department and agency as needed.
- Support in audits and special projects as assigned by supervisor.
WORKER
TRAITS AND CHARACTERISTICS:
- Demonstrates
a commitment to the organization's goals and missions
- Demonstrates
an elevated level of integrity and trust regarding working in a very
confidential setting
- Collaborative
and can work well with others
- Enjoys
analytical work and processes involving many people and a variety of challenges
and concerns
- Ability
to meet deadlines and maintain a cooperative spirit in a challenging and busy
work environment
- Adheres
to all legal parameters for ensuring and maintaining clients' confidentiality
including HIPAA and all State and Federal laws
- Must
be flexible to work over-time during the busy season
- Strong
interpersonal and communication skills
- Detail
Oriented
PHYSICAL
DEMANDS:
- This
is a primarily sedentary position with the individual primarily sitting at a
desk
- Knowledge
and ability to use modern office equipment
- Ability
to type and enter data for prolonged periods of time
- Ability
to receive, process and interpret data for extended periods of time
- Must
be able to perform a wide range of physical demands such as sit, stand, bend,
stoop push, pull, carry, and lift twenty pounds if necessary
- Must
be able to drive an automobile or secure suitable and alternative means of
transportation to other sites as needed
Confidentiality and Privacy
Adheres to all legal parameters for ensuring
and maintaining clients' confidentiality including HIPAA, State and Federal
laws.
The Village Family Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by federal, state or local laws.
Job Type: Full-time
Pay: $73,000-$78,000/yr
Benefits:
- 403(b)
- 403(b) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Professional development assistance
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: Hybrid remote in North Hollywood, CA 91606
