Billing Specialist-Temporary

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Ensure accurate information is entered into the County My Avatar System to bill Medi-Cal claims
• Confirm Medi-Cal eligibility before monthly submission of the claims.
• Periodically run My Avatar reports to confirm accuracy & completeness of client and billing data
• Attend Santa Clara County My Avatar User Meeting
• Review Power BI reports
• Review Admin correction log
• Oversee openings in County My Avatar System
• Run denial report from County My Avatar System extracts Denial file cleans it and prepares file.
• Back up Program Coordinator /Program Admin; corrects state and County denials
• Ensures strict confidentiality of medical and financial records.
• Performs miscellaneous job-related duties as assigned.
• Maintain filing and reporting systems implement changes to filing and reporting systems as needed
• Flexibility and willingness to take on new tasks.
• Demonstrated ability to work in an environment that promotes compassion service and social justice.

• Commitment and support for organizational initiatives

Support the clinical team and perform other administrative duties as assigned by the supervisor

QUALIFICATIONS:

Education:

â Minimum of a high school diploma or GED or higher

â Some accounting courses preferred Experience:

â Minimum of two (2) years of medical billing experience

â Experience in accounting or bookkeeping preferred Required knowledge skills abilities:

â Knowledge of Medicare/Medical commercial insurance and managed care insurance medical terminology and customer service experience.

â Knowledge of HDX and ICD-9 & CPT-4 coding.

â Computer proficiency in Word Excel and email communications.

â Excellent problem-solving skills

â Ability to work well under pressure act independently prioritize tasks and manage multiple projects in a fast-paced office environment; excellent organizational and time management skills.

â Excellent verbal/written English skills and effective interpersonal skills. Physical Requirements:

â Possess the mobility to maneuver throughout the building.

â Use a keyboard and computer terminal telephone and other office equipment

â Occasional moving of furniture or equipment or office supplies

â Driving for errands and special projects.

â Ability to lift up to 25 lbs. Other Requirements:

â Criminal background check via livescan fingerprint

â Must have TB test performed and submit results

â Automobile valid drivers license and auto insurance per agency policy; or have access to reliable transportation

Working Conditions:

â Work will be indoors in a comfortable shared office environment.

â Some work may be spent driving a vehicle on community roads for related errands or tasks.

Hours and other conditions:

â Standard office hours are Monday through Friday from 8:00 a.m. to 5:00 p.m.

Required Experience:

IC