CalAIM Billing Specialist II
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Job Location:
Los Angeles, CA - USA
Hourly Salary:
$ 25 - 27
Posted on:
8 hours ago
Vacancies:
1 Vacancy
Job Summary
About Us:
VOALA
Helping Our Most Vulnerable Change Their Life Stories
Volunteers of America is a non-profit human services organization committed to serving people in need strengthening families and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs Upward Bound college prep programs veterans services homeless shelters low-income housing program as well as drug and alcohol rehabilitation. Learn more at .
PAY RATE: $25.65 - $27 Per Hour
BENEFITS: VOALA offers competitive medical dental vision and retirement benefits.
JOB SUMMARY AND PURPOSE
Under direct supervision of CQI leadership and guidance of the CQI Billing and Records team the CalAIM Billing Specialist II will be responsible for reviewing submitting and tracking claims for VOALAs Health Supportive Services division consisting of Community Supports (CS) Housing (Housing Tenancy Housing Deposit Housing Navigation and/or Recuperative Care) and Enhanced Care Management (ECM) programs with the potential of additional CalAIM program inclusion. The role will monitor assigned CS and ECM program claims for errors and flag appropriate parties for billing corrections. The CalAIM Billing Specialist II will track payments and ensure they are posted in the billing portal and accounting systems. This position will work closely with the CQI team CalAIM Program Leadership and accounting in order to ensure billing accuracy and timeliness. While they work within the CQI Department this role is expected to work collaboratively with the CalAIM programs on an ongoing basis by providing support mentorship and training. This role is responsible for maintaining member confidentiality and information security at all times.
DUTIES AND RESPONSIBILITIES
- The CalAIM Billing Specialist will ensure clean CS Housing and ECM claims are submitted through the billing portal and clearinghouse.
- Monitor billing errors that could involve issues around data entry for services in queue (i.e. units of services time start and end time etc.) and notify responsible parties to make timely corrections.
- Monitor and review denied claims and resubmit with corrected billing errors.
- Track all payments and ensure they are posted in the billing portal and all accounting systems.
- Support coach and train CalAIM program staff and team members in billing processes.
- Maintain and store all billing supportive documentation in designated Information System as required by State guidelines.
- Assist in maintaining confidential records of members served.
- Maintain active accounts in all billing-related and Insurer portals.
- Conduct program site visits as assigned by need.
- Develop record and distribute monthly reports and/or general information as needed.
- Support as needed with generating CalAIM services in billing portal and submit to designated Program Leadership.
- Assist leadership in reconciling data as needed.
- Interact with accounting to ensure accuracy in billing and payments received.
- Remain current in updates made by Insurers the state and other regulatory bodies to ensure ongoing compliances and upholding best billing practices.
- Other duties as may be assigned by CQI Leadership.
ESSENTIAL DUTIES
- Submit clean claims in billing portals
- Monitor and support in correcting billing errors
- Resubmit denied claims with necessary corrections
- Track and document claims payments
- Train and coach CalAIM team members
- Other duties as required and is subject to change at any time.
Qualifications
REQUIREMENTS:
- Must be able to pass a fingerprint clearance background check including criminal history personal references employment and education verifications
EDUCATION:
- Associate Degree or equivalent combination of education and work experience (2 years of relevant experience / coursework)
EXPERIENCE:
- 1 year of experience with billing.
- 2 years of experience in Electronic Health Record database operations and/or billing submissions.
- 1 year of experience in data-driven and/or quality assurance environment.
PREFERRED QUALIFICATIONS:
- Bachelor Degree
- Medi-Cal billing certificate
- Medi-Cal billing experience
- Experience with CalAIM
Volunteers of America is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected Veteran Status or any other characteristic protected by applicable federal state or local law.
This employer participates in E-Verify as required by the federal government and will provide the federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.
If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you including terminating your employment.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Volunteers of America Los Angeles (VOALA) was founded on the core belief in the potential of every person, no matter the circumstance. At VOALA, it’s our job to make sure that potential is realized. Encourage positive development. Promote self-sufficiency. Foster independence.
