Billing Specialist II (Department of Mental Health)

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

ESSENTIAL FUNCTIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Other duties may be assigned.

The essential functions include:

  • Bill for mental health services rendered to appropriate revenue entities using integrated billing systems while adhering to established deadlines
  • Investigate and resolve discrepancies in payments, ensuring proper reimbursement for services provided
  • Reconcile weekly claim submissions using the Department of Mental Health (DMH) SIFT data
  • Identify and follow up on issues related to progress notes inconsistencies, including denials, eligibility issues, unbilled services, and billing violations
  • Collaborate with DMH stakeholders to address and resolve billing discrepancies effectively and in a timely manner
  • 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 DMH, 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 Billing Department's policies and procedures manual, ensuring alignment with industry best practices and regulatory standards
  • Attend Billing 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 goal

EDUCATION, EXPERIENCE and 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 

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 368