$ads={1}
JOB SUMMARY: Under the direction of the Director of Social Services, provides administrative and department support to the Behavioral Health Services (BHS) department, including scheduling, coding, and general office functions.
ESSENTIAL DUTIES AND RESONSIBILITIES:
- Greet all visitors in a prompt and pleasant manner. Answers telephone promptly and in a professional, trauma informed manner. Directs calls to the appropriate individuals.
- Maintains provider schedules and coordinates scheduling appointments for provider.
- Enters client information and appointments into the electronic health record and codes the appointments appropriately.
- Verifies client insurance and coverage.
- Maintain master appointment schedule for all groups and activities.
- Maintain a master client list for all clients in the BHS department.
- Maintain, organize and update department forms, files, reference materials, and policies where necessary. Coordinates scanning records into the electronic health record.
- Provides support for department meetings including scheduling meeting space, preparing meeting materials, and recording of meeting minutes.
- Creates intake packet and set-up new client files in EHR. Verifies that all client information is updated at each visit and that updated insurance information is on file.
- Maintain referral logs, client census, and funding eligibility tracking systems.
- Initiate and manage the opening and discharge process, ensuring all required forms, consents, legal documentation, etc. are in place and that all related activities have occurred in a timely manner.
- Maintains files for upcoming continuing education opportunities and records training completed by and for staff members.
- Prepares travel advances, expenditure reports, and purchase requisitions as required.
- Assist providers with research on outside referrals. Assists providers in determining patient eligibility and coordinates clerical components of referral process.
- Review client billing for accuracy, completeness, and obtain missing information.
- Prepares, evaluates, and transmits claims via electronic claim processing (or paper processing when as needed).
- Investigate unpaid claims following program billing procedure guidelines.
- Review each insurance payment for accuracy and compliance with contract discount.
- Assist clients with insurance or billing questions.
- Appeal medical insurance claims in a timely manner.
- Produce monthly billing reports and track productivity.
- Collaborate with the agency finance department and DSS on billing-related material.
- Maintain and attest provider professional profiles, including recordkeeping of NPA, PTAN, and similar information. Monitors provider license/intern registration, professional insurance, and any other renewables.
- Mails cash disbursement check and maintains appropriate documentation.
- Processes month end accruals of claims received, but not processed.
- Maintain and abide by strict confidentiality and HIPAA laws/regulations regarding sensitive information and materials.
- Refers participants and families to appropriate community services and acts as a liaison and/or advocate with community organizations.
- Promotes and demonstrates respect for participant rights including dignity, self-determination, access to care, confidentiality, and independence.
- Participates as appropriate in activities that link Humboldt Senior Resource Center to the community.
- Effectively collaborates with employees and stakeholders to meet goals toward the further success of the Behavioral Health program.
- Participates in the process of teaching, training, and mentoring student interns working within the program area.
- Ensure compliance with agency or program-specific policies and procedures.
- Acts in a manner consistent with agency values.
- Other duties as assigned.
EDUCATION &/or EXPERIENCE:
- One (1) to three (3) years of medical billing, coding, or office management experience required; experience within a Behavioral or Mental Health practice preferred.
- One (1) year of experience working with a frail or elderly population preferred.
LICENSES OR CERTIFICATES:
- One of the following certificates preferred: Certified Billing and Coding Specialist (CBCS), Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Coding Associate, Certified Medical Reimbursement Specialist (CMRS).
- Current CPR and First Aid certification within six (6) months of hire.
- Valid California Driver’s License and personal auto liability insurance required. Must have a personal vehicle in good driving/operating condition and insured for State minimum liability requirements that can be used for the applicable job functions.
PRE-SCREENING REQUIREMENTS:
- Requires clearance of a DOJ and FBI criminal history background check
- Requires Motor Vehicle Report verification.
- COVID-19 and Influenza (flu) vaccines preferred.
JOB SKILLS:
- Ability and interest to work with the frail, elderly, and disabled adults to enhance and encourage their independence.
- Ability to function effectively within a multi-service, community-based nonprofit agency.
- Ability to comply with program requirements and applicable government regulations.
- Sound verbal and written communication skills to convey information effectively. Ability to communicate effectively and openly with other team members on participant needs.
- Excellent interpersonal skills that result in maintaining a positive attitude, team building, and contribute to effective work relationships.
- Ability to use good judgment, resourcefulness, flexibility, and problem-solving skills.
- Ability to work independently and effectively within diverse teams.
- Strong administrative and organizational skills.
- Ability to prioritize and complete duties within an agreed upon time frame, adjust personal schedule as required, and adapt appropriately to changes in priorities and workload.
- Ability to maintain a consistent level of productivity.
- Ability to incorporate an understanding of detailed requirements in work activities.
- Ability to collect and analyze data.
- Ability to coordinate, advocate, and cooperate with other agencies for seniors with tact and diplomacy. Demonstrates effective social interaction with co-workers, management, and community contacts.
- Proficiency in Microsoft Office, including Word, Excel, PowerPoint, Outlook, and relevant computer programs and software (e.g., electronic health record software, email, internet). Basic knowledge of web-based applications such as timekeeping, training, and email programs.
- Knowledge of up-to-date changes in medical and insurance legislation
- Knowledge of insurance denials and trends in the industry.
- Knowledge of practice management as it relates to job functions.
SUPERVISORY REQUIREMENTS:
- This position has no supervisory requirements.
PHYSICAL REQUIREMENTS:
- Ability to sit at a desk and interact with a computer screen for extended periods of time.
- Hand and arm strength sufficient to operate a keyboard for several hours each day.
- Physical abilities sufficient to move between different work areas, communicate with staff and the public, operate a computer, produce reports, talk on the telephone, and travel to other agency worksites.
ANALYSIS OF PHYSICAL DEMANDS:
Key (Based on typical week): N=Never; R=Rarely (Less than 1 hour per week); O-Occasional (1%-33% of time); F=Frequent (34%-66% of time); C=Constant (over 66% of time)
Activity
Frequency
Activity
Frequency
N
R
O
F
C
N
R
O
F
C
Lifting/Carrying
Twisting/Turning
Under 10 lbs.
X
Reach over shoulder
X
11-20 lbs.
X
Reach over head
X
21-50 lbs.
X
Reach outward
X
51-100 lbs.
X
Climb
X
Over 100 lbs.
X
Crawl
X
Kneel
X
Pushing/Pulling
Squat
X
Under 10 lbs.
X
Sit
X
11-20 lbs.
X
Walk-Normal Surfaces
X
21-50 lbs.
X
Walk-Uneven Surfaces
X
51-100 lbs.
X
Walk-Slippery Surfaces
X
Over 100 lbs.
X
Stand
X
Other
Driving
X
Keyboard/Ten Key
X
Fingering (Fine dexterity)
X
Handling (grasping, holding)
$ads={2}
