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Billing Administrator - 1232072 - CA

Pathways of California

Billing Administrator - 1232072 - CA

Bakersfield, CA
Full Time
Paid
  • Responsibilities

    Welcome to Pathways of California’s career website! If you are passionate about helping others and enthusiastic about your future, we want you to join our team!

    Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality care. We are experts in the field of behavioral health care, providing cutting-edge mental health and substance use community-based services and offer a dynamic employment experience! Pathways offers competitive salaries and benefits, comprehensive on-boarding and job training, a supportive learning environment, ongoing education in the use of evidence-based, promising practices and much more! We have over 30 outpatient behavioral health locations nestled throughout our communities located in Kern County, Los Angeles County, Orange County, and San Diego County.

    Pathways is seeking an innovative and purpose driven individual to join our team as a Full-Time Billing Administrator for our billing operations in Kern County.

    Remote position but must live in Kern County, CA*

    SUMMARY

    The Billing Administrator oversees and is responsible for ensuring billing operations in the region are followed, conducts monthly billing audits, reviews billing services for clients by using an Electronic Health Record, prepares billing reports, transmits claims and researches billing errors..

    ESSENTIAL DUTIES/RESPONSIBILITIES

    Admits new clients to the State and/or County data entry system in accordance with contract standards

    Ensures all charges for every client receiving services is entered properly

    Records and files billing documentation

    Conducts monthly billing audits and submits results to the Billing Manager, Regional and Program Directors

    Provides clinical staff with feedback regarding inappropriate or inaccurate completion of billing forms and documentation

    Provides training to all staff in region on appropriate billing procedures

    Provides support to all administrative staff on billing processes

    Maintains and updates training Guidelines, and ensures their efficiencies

    Facilitates monthly billing trainings and/or meetings

    Acts as a liaison between County and programs concerning any billing discrepancies and errors

    Informs supervisor of any on-going concerns with billing

    Maintains and ensures HIPAA, ethical standards and professional boundaries with all staff and clients

    Accesses State and/or County systems for monthly financial reports as requested by Billing Manager, Regional Director and/or the Finance Department

    Responds to requests for information related to revenue cycle, processes, policies, and/or other related information

    Researches billing discrepancies; resolves any problems

    Researches, reviews, and adheres to all federal, state, and local regulatory billing and collection guidelines, as well as payer specific guidelines; assists in clarifying language interpretations and compliance terms

    May act as a back-up for administrative staff in region

    May manage psychiatric provider calendars and/or schedules for the region

    May code and process psychiatric provider invoices for the region

    Investigates claimed data to identify and correct payment errors

    Reviews remittance codes from EOB’s to ensure appropriate payment; identifies denials or non-payment

    Ensures supplies, equipment and materials needed for billing process are in stock

    Other duties as assigned or necessary to support your department and/or the company

    DO THE FOLLOWING APPLY TO YOU?

    Bachelor’s degree in business administration or an Associate’s degree and equivalent experience in billing government agencies for medical services

    Proof of: valid CA driver’s license, valid auto insurance coverage as well as proof of education are required.

    Prior behavioral health experience preferred

    ABOUT YOUR ROLE

    Two years-experience in a position with responsibility for billing Medi-Cal services to government agencies

    Strong data entry, billing reporting and detail orientation required

    Must have leadership skills/experience and the ability to direct and train professionals at peer and senior levels

    Must have the ability to lead and direct the work of others

    Excellent prioritization and organization skills, strong interpersonal skills and excellent written and verbal communication skills

    Intermediate level PC skills required

    Effectively use the Electronic Health Record system

    Ability to work flexible schedule to meet the needs to the Program

    PHYSICAL REQUIREMENTS

    Remote position. Requires extensive sitting with periodic standing and walking

    May be required to lift and/or move up to 20 pounds

    Requires significant use of computer, tablet, phone and/or general office equipment

    Needs adequate visual acuity, ability to grasp and handle objects

    Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone

    Ability to work from home, and will require off-site travel 20% (local and out of state) – meetings trainings, county and/or client needs

    Will use personal car or vehicle as required for travel and/or transportation

    Will travel for meetings, trainings, etc., as needed

    Decision Making Responsibilities

    Determines how to resolve billing policy and procedure problems either by working directly or unilaterally, to solve the problem or by engaging the Billing Manager, appropriate Program Director, the Regional Director or a member of senior management in the resolution process

    Proactively access and implement practices to prevent any concerns of fraud and immediately inform the Billing Manager and Regional Director of any concerns with billing findings.

    PERKS OF WORKING WITH PATHWAYS CALIFORNIA:

    Employee Referral Bonus Program

    Bi-Weekly Pay

    401k

    Employee Assistance Program

    Perks @ Pathways (student loan refinancing, pet insurance, Verizon wireless discount, movie, hotel, concert and sporting event discounts)

    If you're #readytowork PATHWAYS CA is #readytohire!

    Not the job you’re looking for?

    Pathways has a variety of positions in various locations; please go to www.pathwaysofcalifornia.com/ click on “Apply Here” icon in the upper right-hand corner and click on the location near you from the drop-down menu.

    To Learn More About Us:

    Pathways is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.