Integrated Street Medicine Billing Specialist

Description

OUR MISSION

Wellness Equity Alliance is a national multidisciplinary health organization that designs and delivers integrated, community-based care for populations most impacted by health inequities. We do this through mobile and field-based models, providing medical care, behavioral health services, substance use treatment, harm reduction, and care coordination in nontraditional settings such as encampments, schools, reentry sites, and rural communities as well as with sovereign tribal nations. Grounded in trauma-informed, culturally responsive, and data-driven practices, WEA combines clinical expertise, lived experience, and advanced population health analytics to reduce barriers to care, improve continuity, and strengthen local systems. We have partnered with more than 60 public agencies, managed care plans, and community-based organizations across the U.S. to implement scalable, sustainable programs that are advancing health equity and improving outcomes for historically marginalized populations  

We are known as Renegades, Rebels, Disruptors and Dreamers. If that sounds like you, we want you on our team. 

Purpose of the Position

The Billing & Coding Specialist supports accurate, timely, and compliant revenue cycle operations for WEA’s Integrated Street Medicine programs. This role is responsible for reviewing medical and behavioral health documentation, supporting accurate coding and charge capture, submitting claims, resolving denials, and helping ensure reimbursement across Medi-Cal, Medicare, managed care, IPA, and other payer pathways.

Working closely with clinical, operational, and revenue cycle teams, this position plays a key role in aligning documentation, coding, billing, and payer requirements within complex community-based care settings. The Billing & Coding Specialist helps strengthen financial sustainability, reduce billing errors and denials, and support compliant reimbursement practices across medical, behavioral health, and street medicine services delivered in both field-based and clinic-based environments.

Key Highlights

• Compensation Range: $25.00–$27.40/hour (final compensation dependent on experience, certifications, qualifications, and scope)
• Work Location & Expectations: Hybrid position. Hybrid position with periodic in-person engagement required at WEA program and office locations, including support for Street Medicine operations across multiple regions
• Professional Development: Opportunity to collaborate across Behavioral Health, Crisis Services, Public Health, Street Medicine, Rural Health, and other multidisciplinary initiatives

Key Responsibilities

Claims Submission & Billing Operations

• Review and validate behavioral health and crisis-service documentation to ensure accurate coding, compliant charge capture, and proper application of CPT, HCPCS, ICD-10, and modifier requirements across Medi-Cal, Medicare, county, and other payer guidelines.
• Prepare, review, and submit professional and/or facility claims accurately and timely
• Monitor claims through the revenue cycle process to ensure clean claim submission and reimbursement
• Review claim edits, rejections, and payer responses and take corrective action as needed
• Support billing workflows tied to behavioral health, crisis stabilization, and related outpatient services

Denials Management & Accounts Receivable (A/R) Follow-Up

• Investigate and resolve denied, rejected, or underpaid claims
• Work assigned A/R queues and follow-up tasks within established timelines
• Identify trends contributing to denials or reimbursement delays and escalate concerns appropriately
• Collaborate with operational and clinical leadership to improve documentation and billing outcomes

Compliance, Documentation & Regulatory Alignment

• Ensure billing and coding activities remain compliant with county, Medi-Cal, Medicare, and organizational requirements
• Support audit readiness and documentation review activities
• Maintain awareness of coding updates, billing regulations, payer changes, and behavioral health reimbursement requirements
• Uphold confidentiality and HIPAA standards in all billing-related activities

Cross-Functional Collaboration

• Work closely with front desk, intake, clinical, nursing, and operational teams to support accurate patient registration and billing workflows
• Communicate with payers, vendors, and internal stakeholders regarding billing questions and claim resolution
• Support workflow improvement efforts that strengthen revenue cycle performance and operational efficiency

Reporting & Continuous Improvement

• Track and monitor key billing and coding metrics, including denial trends, clean claim rates, and A/R aging
• Assist with identifying opportunities to improve reimbursement workflows and reduce preventable billing errors
• Support implementation of updated payer requirements, billing workflows, and revenue cycle processes

Ad-Hoc Duties and Responsibilities

• Perform ad hoc revenue cycle tasks and special projects as assigned
• Investigate billing, claims, payment, and denial issues to support timely resolution
• Assist with audits, reporting requests, system testing, and process improvement initiatives
• Collaborate with cross-functional teams to address operational needs and support departmental goals
• Provide support for escalated accounts, compliance requirements, and other revenue cycle activities as needed

Requirements

Required Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• 2–4+ years of medical billing and/or coding experience in behavioral health, outpatient, hospital, or community-based settings
• Experience with Medi-Cal/Medicaid, Medicare, and managed care billing workflows
• Working knowledge of CPT, ICD-10, HCPCS, modifiers, and documentation requirements
• Familiarity with behavioral health or crisis-service billing strongly preferred
• Experience working within EHR/Practice Management systems (Avatar preferred)
• Strong attention to detail, organization, and problem-solving skills

Preferred Qualifications

• CPC, CPB, CCS, or similar coding/billing certification preferred
• Experience supporting behavioral health, crisis stabilization, county-funded, or public health programs
• Familiarity with California behavioral health billing structures and payer requirements
• Experience in high-volume or multidisciplinary healthcare environments

Key Competencies

• Behavioral health billing and coding knowledge
• Revenue cycle troubleshooting and denial resolution
• Attention to detail and documentation accuracy
• Cross-functional collaboration and communication
• Ability to manage multiple priorities in a fast-paced environment
• Compliance-minded and process-oriented approach