Billing Coordinator

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Job Code: MS-1187
Department: Mental & Behavioral Health
Location: CA - Los Alamitos
Job Type:
Full -Time, Part-Time and/or PRN Contract
Education: High School

Job Description:

 

Pathways by Molina, previously Providence Human Services, is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. We proudly serve more than 55,000 unique clients and nearly 17 million individuals who qualify for services under our contracts. 

 

Summary

The Billing Coordinator assists programs with the billing operations at multiple sites, conducts internal billing audits, reviews billing services for clients on the Electronic Health Record, prepares billing reports and researches billing errors.

 

Essential Duties/Responsibilities 

 

  • Admits clients to the State and/or County EHR in accordance with contract standards
  • Ensures all charges for clients receiving services are entered properly
  • Records and files billing documentation
  • Conducts an audit of the billing systems and submits results to the Lead Billing Manager
  • Provides feedback regarding inappropriate or inaccurate completion of billing forms
  • Informs Supervisor of on-going issues with billing processes
  • Maintains and ensures HIPAA, ethical standards and professional boundaries with all staff and clients
  • Accesses State and/or County systems for monthly billing reports as requested by Supervisor
  • May act as back-up for administrative support in programs served
  • Attend county or program meetings as necessary – use of personal vehicle required
  • Other duties as assigned or necessary to support department and/or the company

 

Level of Supervision

This position has no direct supervisory responsibilities, but does support by advising for other positions in the department and supporting geographical areas assigned

Works under direct supervision of the Lead Billing Manager

 

Education/Licensing Requirements

 

Education and/or Experience                                

High School Diploma or GED with computer or business courses

 

Certificates, Licenses, Registrations                    

Proof of: valid CA driver’s license, valid auto insurance coverage as well as proof of education are required 

 

Knowledge, Skills and Experience

  • Must be proficient with Microsoft Office and have Electronic Health Record experience
  • Must have 1 year of basic administrative/accounting experience
  • Must have 1-2 years of billing experience and understand insurance rules and regulations, including denials
  • Must be willing and able to be flexible
  • Must be professional in demeanor, attitude and dress
  • Must be a team player
  • Must be able to show respect to our clients
  • Excellent organizational skills, interpersonal skills, computer skills and communication skills are a must
  • Ability to effectively prioritize and manage time

 

Physical Requirements

  • Office Environment (not remote position). Requires extensive sitting with periodic standing and walking;
  • May be required to lift up to 20 pounds
  • Requires significant use of computer, tablet, phone and/or general office equipment
  • Needs adequate visual acuity, ability to grasp and handle objects
  • Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone
  • Will require off-site travel 20% - local and out of state (meeting, county and/or client needs)

 

Decision Making Responsibilities

 

  • Determines how to resolve billing policy and procedure issues either by working directly or unilaterally to solve the problem or by engaging the appropriate member of senior management in the resolution process
  • Able to guide employees on resources within the company
  • Implements billing, and credentialing processes to ensure efficiency
  • Consistently demonstrates ability to assess situations, considers alternatives, and chooses the appropriate course of action
  • Timely notification to manager of either emerging situations or those is requiring follow-up
  • Resolves non-complex accounting, process/compliance, billing related problems as appropriate
  • Performs duties independently with minimal supervision, operating from specific and definite directions and instructions. Decisions are of a routine nature made within prescribed operating guidelines, policies and procedures

 

Pathways by Molina is committed to creating the best possible work environment for our team members and offers a competitive compensation and benefits package including Medical, Dental, Vision, HSA, FSAs, vacation, sick, basic and optional life insurance, EAP, 401k (100% match for the 1st 4% employee contribution/immediate vesting) and an Employee Stock Purchase.

Pathways by Molina is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.

Preferred Skills: