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Childguidance

Billing Specialist

Childguidance, California, Missouri, United States, 65018

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We empower children, youth and families to flourish in vibrant communities.

Child and Family Guidance Center (CFGC), established in 1962, is a leading provider of community mental health and social services in discre 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 join us in providing a continuum of prevention, early intervention, and intensive treatment services to china 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 Support Specialist . This position reports directly to the Billing and Compliance Manager and Billing Specialist Lead. This position is primarily responsible for accuracy of client information, MC eligibility, and funding entered on the EHR and IBHIS system, billing third‑party payers, creating a report of ineligible clients.

What You’ll Do:

Reviews and reconciles client’s information for new cases entered in the EHR and IBHIS system.

Responsible on checking new client’s MC eligibility.

Downloads MC eligibility from Covivitas into the EHR every 1st and 15th of the month.

Verifies clients coming up as MC ineligible and corrcts claims due to eligibilit as required.

Creates a monthly list of DMH implementar who become ineligible for Medi‑Cal funding and submits report to the Community Outreach fuse and Administrative Manager.

Daily, reviews EHR error report, Activities Needing Attention, and

addresses errors in order for billing to be processed for payment.

Review and submits claims for clients with OHC to third‑party payers using EHRS EXYM and Availity on weekly basis.

Verifies insurance coverage for clients with OHC and sends invoices.

Sends out and follows 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 liter \(including proficiency in Microsoft Office Applications, such as Excel, Word, and Access.

Ability to work collaboratively in a team‑based setting

Detail‑oriented, analytical, demonstrates accuracy and thoroughness, resourceful, reliable, able to adhere to deadlines, self‑starter and be 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 relevant field preferred. High School Diploma or GED required.

We’re building a diverse, inclusive team

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 nebo insurance, identity theft protection, Tickets at Work discount services, and 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.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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