We are a premier provider dedicated to healing children and young adults, strengthening families, and transforming communities through quality comprehensive services and advocacy. We envision a world in which children and young adults, families, and communities are able to heal, grow, and thrive.

Job Type: Full-time Opportunity with Flexible Scheduling
Salary Range: $23.00 - $27.00 per hour (based on bilingual status and/or experience)

Office Location: Pasadena, CA

What We Offer:

An outstanding benefits package and numerous opportunities for career growth and advancement within our organization.

• 13 Paid Holidays per year including Cesar Chavez & Juneteenth
• Earn up to 22 days of PTO
• 401(k) with no wait period and no vesting schedule
• 401(k) matching up to 4%
• Medical insurance offering 3 HMO with Kaiser and Health Net, and also a PPO Plan
• Dental insurance both HMO & PPO options, with 100% employer paid for HMO employee only coverage plan
• Life and AD&D insurance 100% employer paid up to two times the annual salary
• Long Term Disability
• Flexible Spending Account for Medical and Dependent Care
• Employee Assistance Program
• Bilingual stipend of $2,000-$4,000 for applicable positions.
• This role is eligible for Public Service Loan Forgiveness (PSLF)

The essential functions include:

• Bill for mental health services rendered to appropriate revenue entities and multiple insurance payors using integrated billing systems, while adhering to established deadlines
• Accurately enter, post, and reconcile payments, ensuring proper reimbursement for services provided
• Identify and resolve any discrepancies in reimbursements
• Identify and follow up on issues related to progress notes inconsistencies, including denials, eligibility issues, unbilled services, and billing violations
• High volume of claim follow-up calls to insurance carriers
• Research account issues daily using various insurance reports and Department of Mental Health (DMH) SIFT data
• Use tools and resources to provide accurate estimated reimbursements and policy recommendations
• Ensure compliance with regulatory requirements and organizational policies in all billing activities
• Provide necessary client information to therapists and supervisors as needed to facilitate billing processes and ensure accurate documentation
• Participate in special projects initiated by the Department of Mental Health, other revenue entities, or the financial services office, including audits and financial reconciliations
• Review and file mental health documentation and correspondence in compliance with established deadlines, maintaining accuracy and confidentiality
• Contribute to the Health Information and Analytics Department policies and procedures manual, ensuring alignment with industry best practices and regulatory standards
• Attend Health Information and Analytics Department meetings and other internal/external meetings as required, providing insights and updates on billing activities and relevant issues
• Undertake any other duties as required by the organization to contribute to the efficient functioning of the billing department and overall organizational goals

EDUCATION, EXPERIENCE & CERTIFICATES 

• Minimum 2 years' experience in Medical Billing - Preferably CA Medi-Cal or Los Angeles County Department of Mental Health Programs
• High School Diploma or equivalent required
• Bilingual in Spanish Preferred, not required

TRAUMA INFORMED CARE (TIC)

Hillsides practices Trauma Informed Care (TIC) principles which recognizes the signs, symptoms, and widespread impact of trauma; Employees are asked to comprehensively integrate knowledge of Trauma Informed Care into policies, procedures, and practices with the goal to prevent re-traumatization which promotes healing of families, youth, individuals, and communities.

Seat 951