Children's Bureau of Southern California

Receive alerts when this company posts new jobs.

Long Beach Revenue Specialist (2 openings)

at Children's Bureau of Southern California

Posted: 1/1/2019
Job Reference #: 1178
Keywords: billing, financial

Job Description

Location:
Long Beach

Department:
Mental Health Services

JOB TITLE:  Revenue Specialist  

SUMMARY OF POSITION:

This role’s primary purpose is to ensure that the revenue generating systems are accurately performing to their optimal levels by communicating findings to IS Administrator and working with the appropriate staff and their supervisors.   Additionally the Revenue Specialist will assist the IS Administrator the resolution of revenue generating issues related to both in-house Systems and Los Angeles County Department of Mental Health IS System.

JOB RESPONSIBILITIES:

  1. Responsible for entering all information on Exym for all 4 departments (CTS, FSP, TBS & Wrap)
  1. Making sure that the intake packets are complete (no missing signatures or documents)
  1. Making sure that the Intake notes and CTP’s  are approved prior to opening case
  1. Keeping track of case dispositions not completed
  1. Once intake is reviewed link to IBHIS and scan to Exym (PFI cycles & CTP cycles need to be entered prior to linkage)
  1. Responsible for making sure that financial folders are completed and filed
  1. QA or Department coordinator will be closing the case on Exym
  1. Revenue Specialist reviews the forms… The last billable date will be the discharged date → please make sure that everything is correct before signing discharge sheet.
  1. File in basement under the correct D/C cabinet
  1. Analyze problem for each case, contact clinician. If clinician does not respond to issue within 3 days, contact supervisor
  1. Activities needing attention -> review daily -> e-mail staff Cc: Supervisor
  1. Claims with problems  -> review daily -> e-mail staff Cc: Supervisor
  1. Review denied claims weekly  ->Identify problem and solve -> If you cannot solve the problem, send a Heat ticket
  1. Exym change request forms -> any changes that are given have to be signed by the person requesting the changes and department supervisor (file in financial folder)
  1. Step up and Step down (department changes) make sure that funding is changed in a timely manner (file in financial folder)
  1.  
  1. Inactive employees on Exym

RECEPTIONIST BACK-UP

  1. Assist receptionist with answering  phones lines
  2. Cover lunch breaks

MEDI-CAL ELIGIBILITY

  1. Run Medi-Cal eligibility and enter authorization codes on Exym → monthly
  2. Notify staff of their client’s eligibility status.

TOTAL                                                                                                                                   100%

JOB QUALIFICATION STANDARDS

Experience

  • High School education is required
  • Minimum of 1 year experience in billing
  • Experience in Exym is preferred but not required

 

Education, Professional Training, Technical Training or Certification

  • High School education is required

Knowledge/Skills  

  • Knowledge of LAC DMH billing is a plus
  • Bilingual is a plus
  • Maintains confidentiality in matters of agency operations, personnel, and clients.
  • Maintains positive communications with all agency staff, clients and visitors.
  • Exercises good judgment in performance of duties and responsibilities
  • Supports existing agency policies, principles and mission.
  • Other related duties as assigned.

JOB RESPONSIBILITIES:



  1. Responsible for entering all information on Exym for all 4 departments (CTS, FSP, TBS & Wrap)

  1. Making sure that the intake packets are complete (no missing signatures or documents)

  1. Making sure that the Intake notes and CTP’s  are approved prior to opening case

  1. Keeping track of case dispositions not completed

  1. Once intake is reviewed link to IBHIS and scan to Exym (PFI cycles & CTP cycles need to be entered prior to linkage)

  1. Responsible for making sure that financial folders are completed and filed


  1. QA or Department coordinator will be closing the case on Exym

  1. Revenue Specialist reviews the forms… The last billable date will be the discharged date → please make sure that everything is correct before signing discharge sheet.

  1. File in basement under the correct D/C cabinet


  1. Analyze problem for each case, contact clinician. If clinician does not respond to issue within 3 days, contact supervisor

  1. Activities needing attention -> review daily -> e-mail staff Cc: Supervisor

  1. Claims with problems  -> review daily -> e-mail staff Cc: Supervisor

  1. Review denied claims weekly  ->Identify problem and solve -> If you cannot solve the problem, send a Heat ticket

  1. Exym change request forms -> any changes that are given have to be signed by the person requesting the changes and department supervisor (file in financial folder)

  1. Step up and Step down (department changes) make sure that funding is changed in a timely manner (file in financial folder)

  1.  


  1. Inactive employees on Exym

RECEPTIONIST BACK-UP


  1. Assist receptionist with answering  phones lines
  2. Cover lunch breaks

MEDI-CAL ELIGIBILITY


  1. Run Medi-Cal eligibility and enter authorization codes on Exym → monthly
  2. Notify staff of their client’s eligibility status.


JOB RESPONSIBILITIES:

  1. Responsible for entering all information on Exym for all 4 departments (CTS, FSP, TBS & Wrap)
  1. Making sure that the intake packets are complete (no missing signatures or documents)
  1. Making sure that the Intake notes and CTP’s  are approved prior to opening case
  1. Keeping track of case dispositions not completed
  1. Once intake is reviewed link to IBHIS and scan to Exym (PFI cycles & CTP cycles need to be entered prior to linkage)
  1. Responsible for making sure that financial folders are completed and filed
  1. QA or Department coordinator will be closing the case on Exym
  1. Revenue Specialist reviews the forms… The last billable date will be the discharged date → please make sure that everything is correct before signing discharge sheet.
  1. File in basement under the correct D/C cabinet
  1. Analyze problem for each case, contact clinician. If clinician does not respond to issue within 3 days, contact supervisor
  1. Activities needing attention -> review daily -> e-mail staff Cc: Supervisor
  1. Claims with problems  -> review daily -> e-mail staff Cc: Supervisor
  1. Review denied claims weekly  ->Identify problem and solve -> If you cannot solve the problem, send a Heat ticket
  1. Exym change request forms -> any changes that are given have to be signed by the person requesting the changes and department supervisor (file in financial folder)
  1. Step up and Step down (department changes) make sure that funding is changed in a timely manner (file in financial folder)
  1.  
  1. Inactive employees on Exym

RECEPTIONIST BACK-UP

  1. Assist receptionist with answering  phones lines
  2. Cover lunch breaks

MEDI-CAL ELIGIBILITY

  1. Run Medi-Cal eligibility and enter authorization codes on Exym → monthly
  2. Notify staff of their client’s eligibility status.

If you wish to submit a resume only, please click here:

Resume Only Application

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!