Billing Specialist

Turning Point Community Programs is seeking a Billing Specialist to manage and optimize their billing processes. The role involves tracking payments, correcting billing discrepancies, and ensuring accurate coding for billing to minimize denials. Responsibilities Tracks all payments and denials Works cooperatively with programs to maximize billing and minimize denials Monitors billing errors and works with staff to correct any EHR data issues that affect billing Tracks and monitors billing discrepancies Provides billing status reports upon request Works collaboratively with programs and departments to correct discrepancies and maintain the accuracy and timeliness of billing and reporting Works collaboratively with Managed Care Plans and other payors to submit, correct or void billing in a timely manner Ensures that coding for billing is accurate and that billing is accurate so as to avoid rejection Performs Medi-Cal, Medicare eligibility verification Assists with ensuring that programs meet the billing standard monthly Assists with data entry in EHR as needed Provides billing training and support to program support staff as needed Maintains orderly, accurate records and documentation Safely travels on agency business using personal vehicle Maintains clean driving record as well as currency in driver’s license and vehicle insurance/registration Travel between sites as needed Skills At least one (1) year of experience with an EHR with emphasis and education in Managed Care Plan and Medicare/Medicaid/Medi-Cal billing and coding Must have knowledge of the public mental health system, ICD codes, CPT/HCPCS and EOB adjudication codes Must be able to type 40-50 wpm Must be computer literate Must be proficient in Microsoft Word, Access, and Excel California driver's license & current vehicle insurance/registration if driving Reliable means of transportation capable of passing vehicle safety inspection if more than five years old excluding all modes of two-wheeled transport inclusive of bicycles, mopeds and motorcycles Familiarity with CalAim, MCP-specific nuances, and Enhanced Care Management billing categories Company Overview Turning Point Community Programs is a non-profit organization that offers mental health care services. It was founded in 1976, and is headquartered in Rancho Cordova, California, USA, with a workforce of 501-1000 employees. Its website is