*$1,000 Hiring Bonus*
QUALIFICATIONS
Education & Experience
Bachelor's or Associate’s degree in Accounting or Finance, minimum of 3 years’ experience in Medical billing/Data entry/Medi-Cal billing, or
High School Diploma/GED with 7+ years prior experience with Medical billing/Data entry/Medi-Cal billing
Experience in non-profit industry is a plus
Previous Medi-Cal processing experience preferred
Previous County & State Contract billing experience preferred
ESSENTIAL JOB FUNCTIONS
Position Specific
Medical, Medi-Cal Billing Knowledge, Other Health Care (OHC), Enhanced Care Management (ECM) Processing
Medi-Cal and OHC Denial management.
Troubleshoot reason and resubmit corrected documentation to ensure payment of services for clients and families within establish eligibility timelines.
Coordinate Claim details with County Contracts
Complete weekly and bi-monthly reports related to Medi-Cal Eligibility
Medical Billing Clearinghouse Service Processing w/ 3rd Party Vendors
County Credential review, submission and maintenance for all direct service staff upon new hire, or as needed based on new licensing credentials for established employees.
Able to establish relationships with HR and direct staff for credentialing compliance.
Review discrepancies in data received, requests clarification or advises supervisor of issues related to data and performs data verification routines in accordance with agency procedures
Verify and audit the accuracy of accounting and mental health documents or records
Reconcile Billing and tracking Status of Claims
Enter data accurately into computer system using defined computer programs
Establish data entry priorities
Recommend actions to resolve discrepancies
Investigate questionable data
Maintain data entry requirements by following data program techniques and procedures
Interacts with departmental and other staff on matters affecting data and publications flow and makes recommendations for improvement or enhancement to job processes to ensure standards in data entry, collection and retrieval
Agency Specific
Performs all duties in a manner consistent with the principles and values of agency, while adhering to applicable professional codes of ethics, the agency’s policies and procedures, contractor requirements, and regulatory requirements.
Model and communicate appropriate positive attitudes toward the agency’s Mission, Vision, and Values
Work collaboratively with all agency programs and staff to provide support as needed
Utilize and maintain calendar with all work-related details in order to manage time effectively and share calendar information with coworkers
Participate in on-going training to expand and develop professional skills
Perform other duties as necessary for the agency, as assigned
Employment At-Will
Employment at the Agency is terminable at-will, which means that employment may be
terminated at any time, without cause or reason, by either the employee or the Agency.
In
addition the Agency may also demote, layoff, transfer or reassign employees at any time at its
sole discretion without cause or reason.
Check out our Diversity, Equity & Inclusion Statement
https://www.
ssyaf.
org/diversity-equity-inclusion
Starting Salary Range: $20.
00 - $24.
00 DOE
Education
Preferred
Associates or better in Accounting or related field
Skills
Preferred
Written and verbal communication
Work mobile, fast paced environment
Work Independently
Time management
Multi-tasker
Microsoft Office
Microsoft Excel
Collaborative
Flexibility in schedule
Attention to detail
Adhere to all confidentiality requirements
Ability to use laptop computer
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