Database Billing Specialist in San Jose CA

Summary

Database Billing Specialist

Caminar Posted on 2022-11-18

Salary	$26 – $28 an hour
Location	San Jose, CA 95126 (Downtown area)
Type	Full-time

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Job Description

Job Title: Database Billing Specialist
Division: Family & Children Services
Department: Substance Abuse & Mental Health
Reports To: Service Data Integrity Manager
Classification: Regular, Full-Time, Non-Exempt
Payrate: $26.00 – $28.00/hr & Full Benefits Package

About Us: Founded in San Mateo, California, in 1964, Caminar’s thriving programs and services serve more than 14,000 individuals annually across San Mateo, Santa Clara, San Francisco, Solano, and Butte Counties. Our nonprofit organization’s portfolio of behavioral health and supportive services empowers and supports individuals and families to move toward resilience, wellness, and independence. Since 1948, Family & Children Services of Silicon Valley (FCS) has been promoting the resilience, safety, and wellness of individuals, families, and communities throughout Santa Clara County. FCS brings its counseling, prevention, and support services to dozens of community locations, including schools, community centers, jails, and health clinics. FCS merged with and became a division of Caminar in January 2017.

Position Summary: The position of Database Billing Specialist is under the supervision of the Service Data Integrity Manager and is responsible for EHR data Integrity, performing administrative data entry/reporting and billing tasks as well Quality Assurance for Program, County and State requirements.

Essential Duties and Responsibilities include the following (other duties may be assigned):

• Provide timely reporting and analysis of program performance across all FCS programs.
  • Conduct detailed data audits and clean-up as scheduled and as needed.
  • Complete quarterly and annual data capture and analysis of client incidents, quality/satisfaction surveys.
  • Batch error resolution, process deletions, and disallowance review.
  • Research and resolve missing data.
  • Scrub reports in all necessary systems and work closely with vendors to ensure timeliness, reporting needs, accuracy, client denials, etc.
  • Process contract requests for reporting needs using system data.
  • Develop processes and reports that can be sent to clinicians whenever possible.
  • Timely and accurate data entry of 42CFR & HIPAA protected client documentation into multiple electronic health record databases.
  • Confirming client billing status and individual pay billing issues.
  • Works client denials in order to resubmit claims for payment.
  • Maintains service-provided records and accounts for insurance and other billable entities.
  • Identifies and communicates effectively and immediately the errors found in billing and reports them to the Claims and Billing Coordinator.
  • Process monthly billing of private pay insurance
  • Works collaboratively with admin team, supporting the efforts and needs of other departments, providing assistance in a team-oriented approach.
  • Performs clerical tasks such as filing, copying, ordering supplies, faxing, and word processing. Receive, respond and initiate emails.
• Participate in department and agency trainings as assigned.
• Complete and submit accurate timecard to program management in timely manager.
• Must have excellent computer skills, be able to work with variety of databases to complete and provide analytical, and program support for a variety of services.
• Respond to a variety of information requests from both inside and outside the agency
• Actively nurture and advance the cooperative, harmonious and teamwork oriented environment Caminar strives to promote within the workplace; Through daily efforts and presentation promote an atmosphere of dignity and respect in line with the organization’s mission, philosophy, policies and procedures.
• Other support as needed

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Customer Service – Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills – Maintains confidentiality.
• Written Communication – Able to read and interpret written information.
• Teamwork – Balances team and individual responsibilities; Gives and welcomes feedback; Willing to learn and be flexible and support the team.
• Managing People – Makes self-available to staff.
• Ethics – Works with integrity and ethically.
• Organizational Support – Follows policies and procedures; Completes administrative tasks correctly and on time; Excellent follow-up skills.
• Planning/Organizing – Prioritizes and plans work activities; Uses time efficiently; Ability to multi-task and remain calm under pressure; Able to manage multiple priorities and work flow.
• Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position.
• Quality – Demonstrates accuracy and thoroughness; Attention to detail and completes projects from beginning to end.
• Quantity – Completes work in timely manner; Ability to think quickly and organized to complete all tasks.
• Safety and Security – Observes safety and security procedures; Determines appropriate action beyond guidelines.
• Adaptability – Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
• Attendance/Punctuality – Is consistently at work and on time; Ensures work responsibilities are covered when absent.
• Dependability – Follows instructions, responds to management direction.
• Initiative – Asks for and offers help when needed; self-starter and proactive attitude

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education – High school diploma or general education degree (GED) required; Bachelors degree preferred.
• Experience – 1-3 years related experience; or equivalent combination of education and experience.
• Basic statistical research techniques, procedures, and computer skills including the use of spreadsheets and database software
• Language skills – Ability to comprehend basic instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Computer Skills – knowledge of Database software; Spreadsheet software and Word Processing software; strong data entry proficiency.
• Bi-lingual preferred, but not required.
• Knowledge of EHR preferred.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to:

• Communicate with clients and co-workers to exchange accurate information.
• Frequently required to remain in a stationary position for most of the work day.
• Move about the office to access file cabinets, office machinery, etc.
• Constantly operates a computer and other office machinery, such as copy machine, printer, fax.
• Must be able to review client charts for accuracy and information.

Special Requirements:

• Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Caminar practices.
• This position requires frequent driving. A valid California driver license, reliable personal vehicle, current personal auto insurance as required by law, and an MVR sufficient to obtain and reasonably maintain insurability under agency auto liability policies are all essential job requirements.
• Must be able to pass post offer, pre-employment medical and drug tests as required under State Community Care Licensing regulations and/or agency policies.
• Must be required to obtain and maintain First Aid and CPR certification.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time based on business need. This job description is subject to change at any time.

Caminar is a leader in providing innovative client-oriented mental health services. We are an equal opportunity employer. Please visit our web site at www.caminar.org

Company description:

Founded in San Mateo, California, in 1964, Caminar’s thriving programs and services serve more than 14,000 individuals annually across San Mateo, Santa Clara, San Francisco, Solano, and Butte Counties. Our nonprofit organization’s portfolio of behavioral health and supportive services empowers and supports individuals and families to move toward resilience, wellness, and independence. And, we are expanding our capacity to address the increasingly complex needs of individuals and families.