Position Title: Substance Use Disorder Billing Support Coordinator
Department: Substance Use Disorder (SUD)
Reports To: Substance Use disorder Program Director
Status: Full-Time/Hourly
Position Summary: This position supports the SUD program by ensuring accurate, complete, and compliant documentation of all services prior to billing submission. The role works closely with case managers, counselors, and the billing department to review service records, correct documentation issues, and ensure all required information is properly prepared and ready for timely billing submission. The position helps maintain documentation accuracy prior to billing submission and ensures compliance with county and program requirements, including SAPC guidelines. This role is key in bridging clinical service delivery and the billing process to ensure timely and accurate reimbursement.
Responsibilities:
➢ Process all services and billing documentation for current month
➢ Monitor corrective and preventive actions related to documentation accuracy, compliance, and billing readiness
➢ Prepare reports to communicate billing status and documentation completeness.
➢ Finalize draft billing to ensure it is ready for processing at the Directors request.
➢ Track and report staff billing documentation every 24-48 hours to program director.
➢ Obtain medical director’s signature for billing and documentation purposes.
➢ Communicate with SAPC to make requested changes and provide required information.
➢ Review sign-in sheets for accuracy, make corrections as needed, and ensure proper documentation and submission to the Program Director
➢ Ensure billing logs are completed and submitted to the Program Director on the 3rd of each calendar month.
➢ Attend county meetings relevant to the adult program, including MAT and SUD program-related meetings.
➢ Complete all reporting and spreadsheet requirements in accordance with requests from the Program Director and Billing Director.
➢ Maximize billing opportunities by accurately identifying and applying all appropriate CPT codes to ensure the full range of eligible services are captured and billed.
➢ Compile documentation for providers to finalize charts/records in PCNX prior to submission to the Billing department.
➢ Submit billable reports to the Billing Department within the appropriate timelines
➢ Other duties as assigned by supervisor.
Qualifications and Requirements:
➢ Must be able to communicate clearly with State, Federal, and County officials
➢ Strong computer proficiency required.
➢ A minimum of two years’ experience working in the field of addiction.
➢ Must be highly motivated with strong verbal and written communication skills
➢ Proficient in Microsoft Office Suite.
➢ Experience working with Drug Medi-Cal clients (Adult and Youth) preferred.
➢ Understanding of Drug Medi-Cal requirements/process preferred.