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 - $27 per hour, DOE

Office Location: Pasadena, CA

What We Offer:

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

• Bilingual stipend of $2,000 for applicable positions
• 13 Paid Holiday per year including Cesar Chavez & Juneteenth, earn up to 22 days of PTO
• Flexible work schedule
• Opportunity to gain extensive work experience as a clinician working with children & families
• Robust training opportunities: Evidence Based Practices, Shared Core Practice Model & Trauma Informed Care.
• Working with multi-disciplinary teams.
• This role is eligible for Public Service Loan Forgiveness (PSLF)
• Supervision available for Licensure.
• Working with multi-disciplinary teams.
• 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
• 401(k) with no wait period and no vesting schedule 
• 401(k) matching
• Employee Assistance Program

The essential functions include:

• Effectively manage billing processes for multiple insurance payors, ensuring accuracy and compliance with respective guidelines
• Submit claims to insurance carriers in a timely manner, meticulously adhering to submission requirements
• Post payments accurately to maintain up-to-date financial records
• Conduct a high volume of claim follow-up calls to insurance carriers, diligently researching and resolving account issues daily
• Demonstrate expertise in interpreting Explanation of Benefits (EOB) from insurance carriers, ensuring a comprehensive understanding for informed decision making
• Apply knowledge in Verification of Benefits, prior authorizations, concurrent reviews, and adeptly address and resolve insurance-related issues
• Possess an understanding of insurance cards, medical terminology, medical benefits, and proficiency in CPT/HCPCS and ICD-10 coding
• Follow up with insurance companies to confirm the receipt of documentation, and ensure the initiation and progress of prior authorizations and/or gap exceptions from contracted health plans
• Consult with clinical program to ensure that documentation for is complete for any insurance payment purposes, fostering collaboration between billing and clinical teams 
• Support patients throughout the billing process
• Fielding patient complaints and questions
• Utilize tools and resources to provide accurate estimated reimbursements, offering well-informed policy recommendations to optimize revenue streams
• Appropriately document all correspondence with clients and third-party insurances, maintaining thorough and organized records to support accountability and transparency
• Other duties as required

EDUCATION, EXPERIENCE & CERTIFICATES 

• Minimum 2 years' experience in Medical Billing
• Minimum 1 year experience in Verification of Benefits
• High School Diploma or equivalent 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 950