Job Description

CRF – Celebrating 45 Years of Excellence in Behavioral Health Services in San Diego County!

Hours : 40 hours per week; Monday - Friday, 8:00 am 4:00 pm.

Pay Rate : $23.94 to $25.20 per hour

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

Benefits :

• 19 days of PTO and 12 paid holidays per year
• Free clinical supervision and CEUs
• 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

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.

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

Healthy Connect San Diego is a great place to grow, come join our awesome team!

Healthy Connect Adult Services is a program of Healthy Connect San Diego. We provide care coordination to people with complex physical and behavioral health needs. Our team has a great retention rate because we have achievable caseload standards and performance expectations, quarterly performance incentives, remote and fieldwork (after successful in-office training), and a great team culture! We are looking for people who genuinely love to help others in their professional life, but also value a healthy work-life balance.

CRF staff members work together to meet the needs of San Diego Countys 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!

We are an Equal Opportunity Employer

Billing Specialist

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