Billing Specialist

This position performs a variety of administrative duties including but not limited to billing, data entry, reporting and tracking information for program management.  Ensures timely and accurate data entry, performs data validation and quality control checks, creates and generates reports, and performs analysis and reconciliation of data.  Tracks data related to outcome measures to monitor program compliance.  Completes billing as assigned.

Hours: 36 hours per week; Monday - Thursday, 8:30 am to 5:00 pm and Friday, 9:00 am to 1:00 pm

As a Billing Specialist, you will:

• Prepare, review, and submit accurate billing using electronic and paper processing within contracted timelines for multiple health plans.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract. Research and appeal denied claims.
• Follow up with insurance companies regarding any discrepancy in payments if necessary.
• Ensure that information about members served, enrollment, disenrollment, eligibility information, outcome data, billing, and other pertinent information is entered accurately into EHR(s) and other documentation platforms within specified time limits.
• Verify monthly service provision requirements are met for payment throughout the month.

Benefits

• 19 days of PTO and 12 paid holidays per year
• Monthly contribution of $100 towards qualified student loan debt; access to Public Service Loan Forgiveness (PSLF) program for eligible individuals
• Choice of medical plans, with minimal employee cost/expenses and excellent coverage
• Several dental plan options; vision benefits
• Company-paid life insurance and Long-Term Disability
• Tax-Free Flexible Spending for medical/dental/childcare expenses
• Generous retirement plan contributions
• Free Employee Assistance Plan
• Employee discount program, including pet insurance plans
• Opportunities for advancement and growth

CRF inspires and mentors the next generation of behavioral health professionals!

Our Central office is in the Mission Bay area. We provide management support services for all of the mental health programs of Community Research Foundation and PERT, Inc. Our Central Office consists of Administration, Human Resources, Accounting, Information Technology, Housing, Real Estate and Facilities, Quality Improvement.

CRF staff members work together to meet the needs of San Diego County's residents who are experiencing mental/behavioral health challenges. We offer a diverse, inclusive workplace that fosters personal growth and development. You will work within a collaborative, supportive team structure, learn new ways to provide optimal supports to your clients and help people change their lives for the better!

If you need assistance completing the application, please send an email to CRFCareers@comresearch.org

We are an Equal Opportunity Employer

Education: High School/GED diploma with 1+ year of experience with data review, medical billing, health care administration and/or referrals required.

Additional Qualifications and Skills

• Experience using Electronic Health Record systems required
• Professional verbal and written communication skills
• Excellent attention to detail and accuracy in billing processes
• Able to demonstrate intermediate level computer skills, specifically with MS Office and Excel.
• Able to learn new software and applications
• Able to pass criminal/background clearance