Billing Specialist-Behavioral Health & Recovery Services (Open & Promotional) - County of San Mateo
San Mateo, CA
About the Job
NOTE: This recruitment schedule was amended on March 12, 2024 to extend the Final Filing Date. This recruitment has been changed to "Continuous."
San Mateo County Health is seeking an experienced individual for the position of Billing Specialist-Behavioral Health & Recovery Services to perform technical, complex, or specialized patient services office support and business office support for the Billing Unit.
The current vacancy is in the Behavioral Health and Recovery Services (BHRS) Division’s MIS Billing Unit located at 2000 Alameda da las Pulgas, San Mateo, CA. The incumbent may travel/drive occasionally to attend meetings. Some remote work potentially available after training.
This Billing Specialist will primarily be responsible for specific billing tasks which include the following:
The ideal candidate will have:
NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.
San Mateo County Health is seeking an experienced individual for the position of Billing Specialist-Behavioral Health & Recovery Services to perform technical, complex, or specialized patient services office support and business office support for the Billing Unit.
The current vacancy is in the Behavioral Health and Recovery Services (BHRS) Division’s MIS Billing Unit located at 2000 Alameda da las Pulgas, San Mateo, CA. The incumbent may travel/drive occasionally to attend meetings. Some remote work potentially available after training.
This Billing Specialist will primarily be responsible for specific billing tasks which include the following:
- Setting up complex financials for all billing categories including Medicare, Insurance and Medi-Cal.
- Verifying clients financial eligibility.
- Processing admissions, discharges for San Mateo Medical Center (SMMC) Psychiatric Emergency Services (PES) and Inpatient clients.
- Researching Medi-Cal denials, unbilled services, and re-billing when appropriate.
- Working with daily BHRS missing information financial reports.
- Working the Medi-Cal Monthly Eligibility File (MMEF) and Health Plan of San Mateo (HPSM) reports for new, termed, and retro enrollment.
- Researching Medi-Cal Other Health Coverage (OHC) denials and unbilled SMMC PES and Inpatient services including outstanding claims over 90 days.
- Applying payments for SMMC Inpatient and PES crossover clients.
- Back up for other specialist functions when needed.
The ideal candidate will have:
- In-depth experience using a behavioral health electronic health record (EHR), preferably Avatar, for business operations.
- Experience working with insurance companies for claim follow-up.
- Experience using the MEDS file, HDXpress and the HPSM website to verify eligibility.
- Ability to read, interpret and apply rules, policies, and procedures applicable to each payor.
- Knowledge of and experience with Health Insurance Portability & Accountability Act (HIPAA) compliance.
- Demonstrated ability to maintain accurate records and files.
- Experience organizing work, setting priorities, and meeting critical deadlines.
- Experience working with diverse client groups, providers and staff.
- Ability to establish and maintain effective positive working relationships with BHRS staff, clients, other outside organizations and others encountered in the course of work.
- Excellent verbal and written communication skills.
NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.
Source : County of San Mateo