EHR Billing Data Specialist

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

Benefits and perks:

• HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
• Employees qualify for public loan forgiveness programs
• Training and professional development opportunities
• Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.

Job Overview
 
This is a union position.

The EHR department of HealthRIGHT 360 is committed to ensuring technology complements the agency's mission to help individuals and their families get better, do better, and be better. This means a fast-paced and fulfilling job environment that truly makes a difference. 

This is a fantastic opportunity for those committed to the agency’s mission of helping people get better, do better, and be better. As part of a dynamic team responsible for all agency electronic health record systems, you are responsible for the EHR reconciliation, and submission of our high-volume SUD and MH services in San Francisco and San Mateo Counties. This is a fast-paced position that requires a keen eye for detail and is ideal for those dedicated to dotting their “i’s” and crossing their “t’s”.  

Key Responsibilities

• Primarily responsible for San Francisco and San Mateo County EHR (non-fiscal) billing and service submission processes and procedures, including upload, verification, compilation, and posting.
• Coordinate with HR360 fiscal team on related billing matters where appropriate.
• Collaborate with program admissions staff and management on efficient processing of eligibility checks, authorizations, auditing, corrections, and claims submission.
• Regularly review and reconcile claims to prevent aging in accordance with county funding and contractual requirements.
• Complete weekly reconciliation of program and service data between Welligent and county EHR systems to ensure data integrity.
• Other duties as assigned. 

Education and Knowledge, Skills and Abilities 

Education and Experience:

• High school diploma or GED.
• 2+ years’ experience in billing department.
• High degree of accuracy, speed, and attention to detail.
• Ability to prioritize and multitask.
• Previous non-profit behavioral/mental healthcare agency experience.
• Strong verbal communication.
• Proficient in Excel.
• Excellent time management skills, ability to prioritize and multitask.
• Data entry experience.
• Experience using billing software; Welligent, Epic, Avatar preferred.

Background Clearance Required: 

• Must not be on active parole or probation.

Knowledge:

• Knowledge of San Francisco CBHS/BHS and San Mateo County BHRS systems of care.
• Understanding of Medi-Cal and other billing authorization processes and procedures, CalOMS.
• Culturally competent and able to work with a diverse population.
• Strong proficiency with Microsoft Office applications, specifically Word, Excel, Outlook and internet applications.

Skills and Abilities:

• Strong problem-solving skills; is self-directed and able to test and resolve issues with minimal input from management.
• Strong Microsoft Excel (including formula use), Word, and Outlook skills.
• Culturally competent and able to work with a diverse population.
• High degree of accuracy, speed, and attention to detail.
• Ability to successfully prioritize, multitask on projects and daily tasks while maintaining effective communication.
• Ability to work efficiently and productively in an independent manner.
• Makes accurate work a priority; seeks opportunities to improve performance.
• Excellent verbal, written, and interpersonal skills.
• Integrity to handle sensitive information in a confidential manner.
• Desire to learn and eagerness to elevate the efficiency of the department and agency.
• Reliable, accountable, maintains focus, punctual, good attendance record, meets deadlines.
• Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; always maintains confidentiality and appropriate boundaries; handles sensitive information and issues with discretion and tact.