Billing Records Technician

Turning Point of Central California, Inc.

WE EXIST TO SERVE PEOPLE IN NEED.

Turning Point of Central California, Inc. was founded in 1970. For over 50 years now, we have been transforming lives across the state of California. From Mental Health to Community Corrections, Children’s Services, Housing Programs, Recovery Services, Substance Abuse Disorders & more; we serve people in need. Our desire is to see individuals reach their full potential, and create lasting change that will stand the test of time.

Company Benefits:

• Competitive compensation package
• Company paid benefits package including medical, dental and vision and many other voluntary benefits
• 403b Tax Deferred Annuity Retirement fund
• 401a Pension Plan fund
• Term life insurance
• Employee Assistance Program (EAP)
• On the job training including paid professional development and career development
• Rewarding work environment with excellent opportunities for career growth
• Excellent work/life balance including generous vacation and holiday pay
• Meaningful relationships with your co-workers and the individuals we serve
• Family-oriented environment
• Mileage reimbursement for travel
• Qualified non-profit for the Public Service Loan Forgiveness (PSLF) Program
• Regular work schedule (Monday through Friday, 8am - 5pm) No nights or weekends

We are a diverse, inclusive and equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, age (40 ), disability status, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, protected military or veteran status, or any other characteristic protected by law.

JOB SUMMARY

The Billing Records Technician reports to the Program Director or his/her designee and is responsible for providing direct oversight of billing and medical records staff and practices to ensure that they are in compliance with established policies, procedures, laws, regulations and that billing reports are accurate and produces within required timeframes. 

ESSENTIAL JOB RESPONSIBILITIES

1. Compile monthly and year-to-date reports of Medi-Cal revenue and all direct client services.
2. Oversight of all billing information into and out of the Fresno County Mental Health billing system.
3. Track Authorizations for Service, number of services provided and Re-Authorizations. Notify Regional and Program Director and/or staff of expired authorizations and services that exceed authorization.
4. Review all completed work by clerical and case management staff to ensure accuracy as it relates to valid billings.
5. Supply information and assistance as is required for completion of annual cost reconciliation report.
6. Prepare monthly productivity reports of direct services provided by each case manager.
7. Maintain all client financial records and medical record files in an accurate and concise manner.
8. Process monthly billing ledgers from the county system.
9. Complete monthly billing spreadsheets.
10. Update consumer ledgers.
11. Prepare monthly M/C eligibility and back bill M/C when valid.
12. Complete monthly UR count of services.
13. Process and resolve any denied Medi-Cal claims and coordinate with Fresno County to minimize lost revenue.
14. Assist in preparation for County and State audits as necessary.
15. Assist in the development of Medi-Cal billing and Medical Records procedures as directed and/or in coordination with Fresno County and TPOCC QA Department.
16. Complete monthly status reports to the Regional and Program Director outlining progress to date of billing department in completion of required tasks.
17. Compile all monthly reports and e-mail (by the 10^th of the next month) all Productivity Reports, Monthly Billings, and Caseload Stats.
18. Train and audit staff and program compliance with policy and procedures to maintain consistency of procedures and conformity in program activities.
19. Will drive on Agency business.
20. Thinks and acts quickly and efficiently in emergencies.
21. Comply with all Turning Point Safety policies and procedures, including but not limited to: workplace safety, reporting work related injuries, Infection Control and preventing potential safety risks for staff, clients and others.
22. Punctual and regular attendance is an essential responsibility of each employee at Turning Point. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees also are expected to remain at work for their entire work schedule. Late arrival, early departure or other absences from scheduled hours are disruptive and must be avoided.
23. Other duties as assigned by the Program Director. Please note this job description is not designated to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required for the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

ESSENTIAL JOB REQUIREMENTS

1. Previous successful Medi-Cal billing or office work experience.
2. High school diploma or equivalent and two (2) years of junior college with Business Administration/Secretarial major with the completion of computer-related training and two years’ experience in a medical setting.
3. Communicate effectively in written and spoken English.
4. Ability to operate within Electronic Medical Records (EMR) system.
5. Intermediate computer skills in Microsoft Word, Excel, Outlook and PowerPoint, Office 365, Teams, Zoom and other communication/meeting platforms.
6. Possess a valid driver’s license and have access to a dependable means of transportation that is properly insured and operated in accordance with all laws. Agency insurer authorization is required. 
7. Ability to pass a criminal background check.
8. Ability to pass a pre-employment physical, drug screen, general physical, and TB test.
9. Must maintain good relationships with current, future and past employees, co-workers, vendors, third party administrators, and others with whom the Agency is transacting business, and relate to them in a professional manner.

Salary : $16 - $20