Billing Records Technician (Bilingual Preferred) - Rural Mental Health


Billing Records Technician (Bilingual Preferred) -  Position #1553


Rural Mental Health - Multi Sites - Fresno County


40 E. Minarets Avenue, Pinedale, CA 93650


Sophia Millsap, Scheduling and Billing Manager


(855) 343-1057


Monolingual: Class 100 ($15.37 - $20.23/hour)

Bilingual: Class 105 ($16.15 - $21.26/hour)


Full-Time, Hourly, Non-Exempt


Until Filled



We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.


The Billing Records Technician reports to the Program Director or his/her designee and is responsible for providing direct oversight of billing and medical records staff and practices to ensure that they are in compliance with established policies, procedures, laws, regulations and that billing reports are accurate and produces within required timeframes. 


  1. Compile monthly and year-to-date reports of Medi-Cal revenue and all direct client services.
  2. Oversight of all billing information into and out of the Fresno County Mental Health billing system. 
  3. Track Authorizations for Service, number of services provided and Re-Authorizations.  Notify Regional and Program Director and/or staff of expired authorizations and services that exceed authorization.
  4. Review all completed work by clerical and case management staff to ensure accuracy as it relates to valid billings.
  5. Supply information and assistance as is required for completion of annual cost reconciliation report.
  6. Prepare monthly productivity reports of direct services provided by each case manager.
  7. Maintain all client financial records and medical record files in an accurate and concise manner.
  8. Process monthly billing ledgers from the county system. 
  9. Complete monthly billing spreadsheets. 
  10. Update consumer ledgers. 
  11. Prepare monthly M/C eligibility and back bill M/C when valid.
  12. Complete monthly UR count of services.
  13. Process and resolve any denied Medi-Cal claims and coordinate with Fresno County to minimize lost revenue.
  14. Assist in preparation for County and State audits as necessary.
  15. Assist in the development of Medi-Cal billing and Medical Records procedures as directed and/or in coordination with Fresno County and TPOCC QA Department.
  16. Complete monthly status reports to the Regional and Program Director outlining progress to date of billing department in completion of required tasks.
  17. Compile all monthly reports and e-mail (by the 10th of the next month) all Productivity Reports, Monthly Billings, and Caseload Stats.
  18. Train and audit staff and program compliance with policy and procedures to maintain consistency of procedures and conformity in program activities.
  19. Will drive on Agency business.
  20. Thinks and acts quickly and efficiently in emergencies.
  21. Comply with all Turning Point Safety policies and procedures, including but not limited to workplace safety, reporting work-related injuries, Infection Control and preventing potential safety risks for staff, clients, and others.
  22. Punctual and regular attendance is an essential responsibility of each employee at Turning Point. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees also are expected to remain at work for their entire work schedule. Late arrival, early departure or other absences from scheduled hours are disruptive and must be avoided.
  23. Other duties as assigned by the Program Director or his/her designee.  Please note this job description is not designated to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.


  1. Previous successful Medi-Cal billing or office work experience.
  2. High school diploma or equivalent and two (2) years of junior college with Business Administration/Secretarial major with the completion of computer-related training and two years' experience in a medical setting.
  3. Ability to type 55 wpm.
  4. Communicate effectively in written and spoken English. 
  5. Ability to communicate effectively in written and spoken Spanish preferred. 
  6. Intermediate computer skills in Microsoft Word, Excel, Outlook and PowerPoint.
  7. Ability to operate within Electronic Medical Records (EMR) system. 
  8. Possess a valid driver's license and have access to a dependable means of transportation that is properly insured and operated by all laws.  Agency insurer authorization is required. 
  9. Ability to pass a criminal background check.
  10. Ability to pass a pre-employment physical, drug screen, general physical, and TB test.
  11. Must maintain good relationships with consumers, co-workers, government and civic representatives, as well as community members within whom the Agency is transacting business, and professionally relate to them.


  1. Communicate effectively in written and spoken Spanish.
  2. Required ability to communicate effectively with monolingual Spanish speaking clients and families for all clinical purposes. 
  3. Assist with phone calls for Spanish clients.
  4. Required to provide language translations for case managers and Physicians on a periodic basis.
  5. Minimal adequate competency in the Spanish language as evidenced by successful passage of the TPOCC Spanish Competency Test.
  6. Other translation tasks as required.