Clinical Records and Billing Compliance Specialist - Babies Can't Wait/Children First

Pay Grade: J
Job Code: GSP130

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Who We Are. We protect lives. The Georgia Department of Public Health (DPH) is the lead agency entrusted by the people of Georgia to protect lives and promote healthy lifestyles in communities throughout the state. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing for and responding to disasters.

What We Offer. As a member of the DPH team, you will join a group of passionate individuals dedicated to serving Georgians. Regardless of your role, you will contribute to protecting lives while enjoying a wide range of benefits.

• Make a Professional Impact – Build your career where it matters and protect lives in the community where you live, work, and play.
• Enjoy Workplace Flexibility – Experience flexibility in how you work so you can be your best self for you and the people of Georgia.  
• Work with a Dynamic and Diverse Team – Collaborate with employees who share ideas and leverage collective strengths. 
• Achieve Career Longevity – Take advantage of opportunities for learning and development that support a long-term career.
• Take Part in a Hands-on Working Culture – Work in a unique culture of active engagement and problem-solving, no matter your role.
• Feel Pride in Where you Work – Be part of making an impact in public health alongside dedicated people just like yourself.

The Clinical Records and Billing Compliance Specialist is responsible for ensuring accurate billing, proper documentation, and compliance with organizational policies, contracts, and regulatory requirements. This role supports financial, and program audits, assists with records management, and serves as a point of contact for staff, clients, and partner agencies. The Specialist also provides technical and administrative support to improve billing systems and ensure the integrity of clinical records.

• Performs a range of financial and program audits, including annual performance and family cost participation reviews.
• Review billing records, claims, and transactions for accuracy and compliance with organizational policies, contracts, and regulatory requirements.
• Communicate effectively with clients, staff, contractors, and partner agencies to share information, respond to questions, participate in meetings, and serve as an onsite point of contact.
• Provide ongoing support for Babies Information and Billing System (BIBS) troubleshooting and improvements.
• Ensure documentation completion by assisting with collecting forms and other required information to process client intake, service plans, and provider notes.
• Maintains, organizes, and manages client files and charts in accordance with program policies and confidentiality guidelines.
• Facilitate medical records requests and review records, files, and other documentation to gather information and prepare responses to internal and external inquiries.
• Perform other duties as assigned to support the program operations and organizational needs.

Associate’s degree in business or related field from an accredited college or university and one (1) year of experience related to area of assignment. 

Note: An equivalent combination of knowledge, education, job or intern experience, training, or certifications that provides the necessary knowledge and skills to successfully perform the job at the level listed may be substituted year-over-year.

Annual salary $42,000 plus general benefits including 13 paid holidays, annual and sick leave, health insurance, and retirement benefits.

No phone calls or applications are accepted ONLINE ONLY through the link posted. 

The DPH Commissioner and agency leaders encourage all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being. 

The use of physical activity breaks during the workday is authorized to support this philosophy and help employees meet their wellness goals. A maximum of 30 minutes of physical activity may be allocated per workday, typically in the form of two 15-minute breaks or one 30-minute break.

Employment Information

State of Georgia employees are subject to the rules of the State Personnel Board regarding salary.

DPH accepts educational credentials recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) as valid. DPH will contact educational institutions to verify degrees, diplomas, licensures, and other relevant credentials.

The candidate selected for this position may be subject to pre-employment drug screening and a criminal background check.

Relocation assistance is not provided.

In the event of an identified emergency, you may be required, as a term and condition of DPH employment, to assist in meeting the emergency responsibilities of the department. 

ADA Statement

DPH is committed to providing access and reasonable accommodation in its services, programs, activities, and employment for individuals with disabilities. To request a reasonable accommodation for the application or interview process, email DPH-HR@dph.ga.gov. 

DPH is an Equal Opportunity Employer

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not receive an interview.  DPH will contact selected applicants to proceed with the application process. Applicants who are not selected will not receive notification.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

BENEFITS

Standard Benefits for Full-Time Salaried Employees
 In addition to a competitive salary, we offer a generous benefits package that includes a flexible schedule, training opportunities, health insurance, employee retirement plan (ERS GSEPS), deferred compensation, 13 paid holidays, vacation and sick leave, paid parental leave, dental, vision, long-term care, and life insurance.

 Standard Benefits for Part-Time Employees

Part-time employees are eligible to participate in the Georgia Defined Contribution Plan and receive paid parental leave.