SUMMARY

The Billing Coordinator supports the accuracy and timeliness of claims submission for behavioral health programs by managing mid-cycle billing processes, coordinating with program and administrative teams, and ensuring accurate data in the Electronic Health Record (EHR) system. Monitors eligibility, assists with denial resolution, and helps maintain compliance with Medi-Cal, DMH, and other funder requirements. Provides technical assistance to internal staff, prepares documentation for audits, and assists the Billing and Revenue Manager to ensure effective billing operations across multiple funding streams.

ESSENTIAL DUTIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assist with the preparation, review, and submission of claims to County and funders in accordance with established procedures and timelines

• Monitor claim status, denial reports, and accounts receivable; flag issues and support corrective actions to improve revenue cycle performance

• Perform routine audits of client records in the EHR system to identify data issues affecting billing

• Conduct eligibility checks and support coordination of benefit updates using tools such as COVIVITAS

• Support clean-up of claim errors, missing authorizations, and incomplete documentation

• Provide technical assistance to program staff on billing procedures, documentation standards, and EHR workflows

• Prepare reports, summaries, and documentation in support of internal reviews and external audits

• Collaborate with the Eligibility Specialist, Billing Clerks, and other administrative staff to maintain up-to-date and accurate billing records

• Attend County or funder trainings as assigned and share relevant updates with the billing team

• Maintain confidentiality of client records and ensure compliance with HIPAA, Medi-Cal, and DMH billing guidelines

ADDITIONAL DUTIES

• Other duties and special projects as assigned.

SUPERVISORY RESPONSIBILITIES

• This role has no supervisory responsibilities.

QUALIFICATIONS

EDUCATION & EXPERIENCE

• Associate’s degree in business, Health Administration, or related field preferred. High school diploma or equivalent required.

• Minimum three (3) years of progressive experience in medical billing or claims coordination, preferably in behavioral health or community-based services.

• Experience with Medi-Cal and government-funded program billing strongly preferred.

OTHER QUALIFICATIONS

• In-depth knowledge of billing processes, payer rules, and EHR workflows.

• Strong analytical skills with the ability to generate, interpret, and act on billing data.

• Excellent organizational skills and attention to detail.

• Ability to manage multiple priorities in a fast-paced environment.

• Strong interpersonal skills and the ability to work effectively with diverse teams.

• Valid driver’s license and state-required auto insurance or reliable transportation depending on business needs.

• Commitment to maintaining confidentiality and HIPAA compliance.

• Sensitivity to cultural and socioeconomic diversity.

CERTIFICATES, LICENSES, REGISTRATIONS

• None required.

COMPUTER SKILLS

• EHR systems

• Proficient in billing and claims management software.

• Microsoft Office programs in a Windows environment, including Word, Excel, PowerPoint, Outlook, and Teams.

VISION REQUIREMENTS

• No special vision requirements.

NOISE LEVEL

• Moderate noise

REQUIRED TRAINING

• New Hire Orientation

• AB-1825: Sexual Harassment Prevention training

• Mandated Reporter

• Timekeeping & Attendance