Job: Billing Specialist-Behavioral Health & Recovery Services (Departmental Promotional Only)

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Job Description

Overall Job Objective

Job Title:Billing Specialist-Behavioral Health & Recovery Services (Departmental Promotional Only)
Closing Date/Time:Tue. 11/14/17 11:59 PM Pacific Time
Salary:$26.94 - $33.70 Hourly
$2,155.20 - $2,696.00 Biweekly
$4,669.60 - $5,841.33 Monthly
Job Type:Full-Time
Location:San Mateo County, California
 
The County of San Mateo Health System is seeking experienced individuals for the position of Billing Specialist-Behavioral Health & Recovery Services to perform difficult, technical, complex or specialized patient services office support and business office support for the Billing Unit.

There are two positions currently available in the Behavioral Health and Recovery Services (BHRS) Division's MIS/Billing Unit.  The positions are located in San Mateo but may travel/drive to other sites to attend meetings.

These Billing Specialists will be responsible for specific billing tasks which include some or all of the following:
  • Setting up complex financials for all billing categories including Medicare, Insurance and Medi-Cal
  • Verifying clients financial eligibility
  • Importing services electronically into Avatar
  • Billing Medicare, insurance and Medi-Cal electronically
  • Health Insurance Claim Form (HCFA) insurance billing, follow-up and payment posting
  • Researching Medi-Cal denials, unbilled services and re-billing when appropriate
  • Maintaining Alcohol and Drug Organized Delivery System (ODS) residential authorizations
  • Working with daily AOD Data Correction e-mails and calls
  • 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 Psychiatric Emergency Services (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 Avatar for business operations;
  • Excellent organizational skills including setting priorities and meeting critical deadlines;
  • Experience working with insurance companies for claim follow-up;
  • Experience processing medical billing documents including HCFA 1500's and UB 04's;
  • Experience working with 837 and 835 files utilizing Office Ally and the state's ITWS website;
  • Experience using the MEDS file, HDXpress and the HPSM website to verify eligibility;
  • Excellent verbal and written communication skills when working with BHRS staff, clients and other outside organizations.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies. 
 Qualifications:

County Status:  An applicant must have been a San Mateo County employee in the Health System with at least six months (1040 hours) of continuous service in a regular, probationary, or extra-help classified position prior to the final filing date.

Education and Experience:  Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is one year of journey level office support experience in a patient services setting.

Knowledge of:
  • Medical terminology as related to patient services support work.
  • Policies and procedures related to patient services office support and hospital or clinic business office activities.
  • Office administrative practices and procedures, including filing and the operation of standard office equipment.
  • Basic business data processing principles and the use of word processing or computing equipment.
  • Proper form for typed materials.
  • Business arithmetic, including percentages and decimals.
  • Correct English usage, including spelling, grammar and punctuation.
  • Record keeping principles and procedures.

Skill/Ability to:
  • Perform technical, specialized, complex or difficult patient services office support work.
  • Organize, prioritize and coordinate work activities.
  • Read, interpret and apply rules, policies and procedures.
  • Organize, research and maintain patient and general office files.
  • Establish and maintain effective working relationships with those contacted in the course of the work.
  • Compose routine correspondence from brief instructions.
  • Make arithmetic calculations with speed and accuracy.
  • Use initiative and sound independent judgment within established guidelines.
  • Operate standard office equipment, including a word processor, personal or on-line computer, and centralized telephone equipment.

Note: Specific positions may require the ability to type at a rate of 40 net words per minute from printed copy.
 Application/Examination:
Departmental Promotional Only. Only current San Mateo County employees in the Health System with at least six months (1040 hours) of continuous service in a classified regular, probationary, SEIU or AFSCME represented extra-help/term position prior to the final filing date may apply. 

Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California and applicants must participate at their own expense. 

IMPORTANTApplications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply Online" button above or below. If you are not on the County's website, please go to http://jobs.smcgov.org/ to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

~ TENTATIVE RECRUITMENT SCHEDULE ~
Final Filing Date:  November 14, 2017, 11:59 PM
Application Screening:  November 16, 2017
Combined Civil Service and Department Interviews:  November 28, 2017


The County of San Mateo does not require job applicants to disclose conviction history information until after the applicant successfully completes all examination phases for the recruitment. All passing applicants will receive instructions by email only from Human Resources staff to complete and submit a conviction history questionnaire online within a specified deadline of two business days.  Failure to do so within the timeframe will disqualify you from the rest of the process.  Please visit this link at http://hr.smcgov.org/conviction-information-applicants-faqs to find out more information about the conviction history questionnaire so that you can prepare accordingly.
 
Note: Positions in criminal justice agencies currently required by law to pass background checks are exempted from this bill, and applicants may be required to submit conviction information at the time of application.
 
County of San Mateo is an Equal Opportunity Employer

HR Contact: Yvonne Alvidrez (110117) (Patient Services Specialist - E414)

 

 
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