Sr. Billing and Program Support Specialist

About the role

The Billing and Program Support Specialist (Clinical Services) role supports the Medi-Cal billing process through the County’s Medi-Cal billing system (Smart Care) and our EHR (Exym).

Responsibilities

• Open and register new client program records in Smart Care after the first completed session
• Support our clinical team to ensure timely and complete registration paperwork
• Complete timely and accurate service data entry (billing) weekly into Smart Care
• Ensure client diagnoses are consistent and accurately matched between Exym and Smart Care, and regularly update Smart Care to reflect any changes made in Exym
• Track and support completion of annual assessments; enter data within required timelines
• Monitor discharges in Exym and complete discharge documentation in Smart Care in timely fashion
• Generate reports from Exym to be used for accurate and timely data entry into Smart Care
• Assist with monthly reconciliation between Smart Care and Exym
• Archive hard files and support file closeout for discharged clients
• Support clients with record requests
• Attend ACBH trainings to stay current on Smart Care data requirements
• Support new client intake and scheduling as needed
• Provide other support as needed

Requirements

• Minimum 2 years experience working in a data entry role with a proven track record of completing timely and accurate data entry.
• Demonstrated ability to follow strict data entry protocols and experience validating data for accuracy.
• Previous experience in medical or behavioral health environment.
• Experience in workflow process development and identifying areas for process improvement.
• Strong attention to detail and comfort working with data.
• Tech-savvy and quick to learn new systems and tools; eager to become a power user of both systems (Smart Care and Exym).
• Proficient in MS Word, Excel, and Google Suite.
• Organized, patient, and able to manage competing timelines.
• Comfortable working with confidential client information; Knowledge of HIPAA policies and best practices.
• Adaptable to changing organizational needs, conditions and work responsibilities.
• An ongoing improvement and process-oriented mindset.
• Personable, collaborative, and able to work well with both clinical and administrative staff.
• Strong Customer service and conflict management skills.
• Interest in mental health, especially Medi-Cal programs.
• Prior experience directly interacting with clients or customers.
• Prior experience entering data into an Electronic Health Record (EHR) system is preferred.
• Prior knowledge of county contracts or Medi-Cal billing is a bonus.

Qualifications

• Bachelor's degree preferred.