Southern California Alcohol and Drug Programs, Inc.
Job Description
About Us SCADP Southern California Alcohol and Drug Programs, Inc. (SCADP) was established in 1972 in a grassroots effort by community members seeking alternatives to prison for individuals with substance use disorder (SUD). SCADP is now a 501(c)(3) non-profit organization providing residential treatment services and outpatient counseling services to individuals throughout Los Angeles, as well as housing and supportive services for survivors of domestic violence. SCADP now offers services with a continuum of care to underserved and disadvantaged populations throughout the Los Angeles area. PAY RATE: $66,500 - $70,000 Per Year BENEFITS: SCADP offers competitive medical, dental, vision and retirement benefits. JOB SUMMARY AND PURPOSE While maintaining patient confidentiality and information security, the Licensing and Billing Manager will coordinate, supervise, and mentor the Drug Medi-Cal billers for SCADP/VOALA sites, oversees all billing procedures for Drug Medical programs, related staffs and dedicated billers. Conducts regular audits to ensure billing accuracy, and corrects errors, ensures required monthly billing to funder. DUTIES AND RESPONSIBILITIES Billing Monitor all intake billing related documentation in SAGE: CalOms, Financial Eligibility, Treatment Authorization, ICD 10 codes, Client Consent, and Clinical contact information Monitor timely completion and data entry of treatment notes to ensure accurate billing claims Monitor essential treatment note information (i.e. units of services, time start and end time) Daily, weekly, and monthly review and data entry of billable services Develops, records, and distributes monthly reports, and/or general information as needed Generates activity reports in SAGE and submit to Program Manager or designee Monitor and review denied claims and resubmit treatment services once corrected Maintain and store all billing supportive documentation as required by State guidelines Supervises staff (billers and DMC Verifiers) involved in billing for each of the SCADP and VOALA programs. Supervises billers to ensure proper billing procedures. Runs regular progress reports, and other reports as required by Medical senior staff and accounting. Monitors billing rejections from funder to ensure billers correct in appropriate manner. Other duties as required to meet program goals, subject to change as needed Licensing Review documentation related to DHCS & DMC applications, collaborate with Clinical Regional Director to complete applications, submit, monitor processing, respond to additional documents requested Monitor and maintain records of required supporting documentation for renewal processes Communicate with DHCS licensing division and DMC certifying division regarding licensing and certification applications Maintain record of applications processed, application monitoring reports, deficiencies reported Development of corrective action plans related to application deficiencies Support Programs prior to and after audit review. Provide required supporting documentation for licensing audit purposes, review deficiencies report, develop corrective action plans, submit for approval Maintain DHCS licensing and DMC certification supporting documentation records Other Duties Ensures adherence to staff licensure requirements. Monitors staff credentials regularly provides Managers credentialing expiration date reminders, collects and records required documentation. Collaborates with HR via credentialing report to provide updates on expired or expiring items. Uploads credentials and code of conduct to UltiPro system. Ensures adherence to provider staff TB, CPR, and first aid training requirements. Monitors staff documents, regularly provides managers expiration date reminders, collects and records required documentation. Uploads TB documents to UltiPro. Serves as Los Angeles County SAPC Sage EHR liaison. Collects and reviews required supporting documentation for County EHR system access for all users across SCADP & VOALA. Annually reviews, confirms, updates EHR user lists on record with SAPC Develop, maintain, and update agency standard census report. Annually collect and keep record of census. Update new fiscal year tab and issue report to Program Managers. Provide Clinical Regional Director census reports upon request. Serves as NACA (NACT) state reporting system liaison. On a monthly basis, collect data from Program Managers, reviews, updates, and ensure adherence to reporting requirements Serves as DATAR state reporting