Child and Family Guidance Center | CFGC
Billing Specialist
Child and Family Guidance Center | CFGC, Los Angeles, California, United States, 90079
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Billing Specialist
role at
Child and Family Guidance Center | CFGC
About Us & Why We're Hiring
Child and Family Guidance Center (CFGC), established in 1962, is a leading provider of community mental health and social services in the San Fernando and Antelope Valleys.
Our mission is to empower children and families to achieve health and well-being through innovative mental health services.
We serve thousands of children and families annually.
We are inspired by our staff of caring and committed professionals.
We are seeking passionate people to join our team.
As part of our team, you will provide a continuum of prevention, early intervention, and intensive treatment services to children and families.
We offer services in our offices, at schools, and in homes.
Together, we seek to create stronger, more resilient communities.
Your role will center around changing lives, extending our reach, deepening our impact, and building meaningful outcomes for those seeking help.
The Position We are seeking a
full‑time Billing Specialist . This position reports directly to the Billing and Compliance Manager and Billing Specialist Lead. The role is primarily responsible for the accuracy of client information, MC eligibility, and funding entered on the EHR and IBHIS system, billing third‑party payers, and creating a report of ineligible clients.
What You’ll Do
Review and reconcile client information for new cases entered in the EHR and IBHIS system.
Check new client MC eligibility.
Download MC eligibility from Covivitas into the EHR on the 1st and 15th of each month.
Verify clients appearing as MC ineligible and correct claims due to ineligibility as required.
Create a monthly list of DMH clients that become ineligible for Medi‑Cal funding and submit the report to the Community Outreach Manager and Administrative Manager.
Daily review of EHR error report, Activities Needing Attention, and address errors to enable billing to be processed for payment.
Review and submit claims for clients with OHC to third‑party payers using EHRS EXYM and Availity on a weekly basis.
Verify insurance coverage for clients with OHC and send invoices.
Send out and follow up on CMS1500 forms as needed.
Hours: Monday–Friday 8:00 am–5:00 pm, 1‑hour meal period.
Starting Salary: $18.00–$20.00 per hour based on experience.
Qualifications
Computer literate, including proficiency in Microsoft Office Applications, such as Excel, Word, and Access.
Ability to work collaboratively in a team‑based setting.
Detail‑oriented, analytical, demonstrate accuracy and thoroughness, resourceful, reliable, able to adhere to deadlines, self‑starter, and able to work independently.
Must have a good sense of judgment as pertaining to the position.
Must have relevant medical billing experience, preferably in mental health.
Experience with EHRS, EXYM, and Department of Mental Health (DMH) billing procedures highly preferred.
Bachelor’s or Associate's Degree in a relevant field preferred; High School Diploma or GED required.
We’re building a diverse, inclusive team
You’re welcome here. We want CFGC to reflect the diversity of our community and flourish together.
CFGC is committed to Equity, Diversity, and Inclusion and strives to create a diverse, welcoming and supportive workplace.
CFGC promotes professional development and a healthy work‑life balance
Educational Assistance Reimbursement
Great training/learning opportunities
Supportive, friendly work environment that prioritizes YOU
Work‑life balance – flexible time off policies
Committees and workgroups that always strive to make CFGC’s workplace culture the best it can be.
Premier Benefits including medical, dental, vision, life insurance, identity theft protection, Tickets at Work discount services, and even pet insurance policies!
Employees in this role may be eligible for the Public Service Loan Forgiveness (PSLF) program.
And much more! Check out our full benefits summary https://www.childguidance.org/portfolio/benefits/
This job posting includes a summary of duties, responsibilities, and qualifications for this position. It is not a complete job description and is subject to change based on the needs of the center.
Seniority level
Entry level
Employment type
Full‑time
Job function
Accounting/Auditing and Finance
Industries
Mental Health Care
#J-18808-Ljbffr
Billing Specialist
role at
Child and Family Guidance Center | CFGC
About Us & Why We're Hiring
Child and Family Guidance Center (CFGC), established in 1962, is a leading provider of community mental health and social services in the San Fernando and Antelope Valleys.
Our mission is to empower children and families to achieve health and well-being through innovative mental health services.
We serve thousands of children and families annually.
We are inspired by our staff of caring and committed professionals.
We are seeking passionate people to join our team.
As part of our team, you will provide a continuum of prevention, early intervention, and intensive treatment services to children and families.
We offer services in our offices, at schools, and in homes.
Together, we seek to create stronger, more resilient communities.
Your role will center around changing lives, extending our reach, deepening our impact, and building meaningful outcomes for those seeking help.
The Position We are seeking a
full‑time Billing Specialist . This position reports directly to the Billing and Compliance Manager and Billing Specialist Lead. The role is primarily responsible for the accuracy of client information, MC eligibility, and funding entered on the EHR and IBHIS system, billing third‑party payers, and creating a report of ineligible clients.
What You’ll Do
Review and reconcile client information for new cases entered in the EHR and IBHIS system.
Check new client MC eligibility.
Download MC eligibility from Covivitas into the EHR on the 1st and 15th of each month.
Verify clients appearing as MC ineligible and correct claims due to ineligibility as required.
Create a monthly list of DMH clients that become ineligible for Medi‑Cal funding and submit the report to the Community Outreach Manager and Administrative Manager.
Daily review of EHR error report, Activities Needing Attention, and address errors to enable billing to be processed for payment.
Review and submit claims for clients with OHC to third‑party payers using EHRS EXYM and Availity on a weekly basis.
Verify insurance coverage for clients with OHC and send invoices.
Send out and follow up on CMS1500 forms as needed.
Hours: Monday–Friday 8:00 am–5:00 pm, 1‑hour meal period.
Starting Salary: $18.00–$20.00 per hour based on experience.
Qualifications
Computer literate, including proficiency in Microsoft Office Applications, such as Excel, Word, and Access.
Ability to work collaboratively in a team‑based setting.
Detail‑oriented, analytical, demonstrate accuracy and thoroughness, resourceful, reliable, able to adhere to deadlines, self‑starter, and able to work independently.
Must have a good sense of judgment as pertaining to the position.
Must have relevant medical billing experience, preferably in mental health.
Experience with EHRS, EXYM, and Department of Mental Health (DMH) billing procedures highly preferred.
Bachelor’s or Associate's Degree in a relevant field preferred; High School Diploma or GED required.
We’re building a diverse, inclusive team
You’re welcome here. We want CFGC to reflect the diversity of our community and flourish together.
CFGC is committed to Equity, Diversity, and Inclusion and strives to create a diverse, welcoming and supportive workplace.
CFGC promotes professional development and a healthy work‑life balance
Educational Assistance Reimbursement
Great training/learning opportunities
Supportive, friendly work environment that prioritizes YOU
Work‑life balance – flexible time off policies
Committees and workgroups that always strive to make CFGC’s workplace culture the best it can be.
Premier Benefits including medical, dental, vision, life insurance, identity theft protection, Tickets at Work discount services, and even pet insurance policies!
Employees in this role may be eligible for the Public Service Loan Forgiveness (PSLF) program.
And much more! Check out our full benefits summary https://www.childguidance.org/portfolio/benefits/
This job posting includes a summary of duties, responsibilities, and qualifications for this position. It is not a complete job description and is subject to change based on the needs of the center.
Seniority level
Entry level
Employment type
Full‑time
Job function
Accounting/Auditing and Finance
Industries
Mental Health Care
#J-18808-Ljbffr