Billing Specialist-Temporary

CCSCC; San Jose (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

CCSCC is seeking an administrative billing specialist to support the clinical team in the County My Avatar System for Medi-Cal claims. You will verify eligibility, input data, and run reports to ensure accuracy and completeness of client records and billing data.

The role requires at least a high school diploma, two years of medical billing experience, knowledge of HDX, ICD-9 and CPT-4 coding, and strong English communication skills. Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

Qualifications

• Minimum of a high school diploma or GED, or higher.
• Some accounting courses preferred.
• Minimum of two (2) years of medical billing experience.
• Experience in accounting or bookkeeping preferred.
• Knowledge of Medicare/Medical commercial insurance and managed care insurance.

Responsibilities

• Enter accurate information 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 verify data accuracy and completeness.
• Attend Santa Clara County My Avatar User Meeting.
• Review Power BI reports.
• Oversee openings in County My Avatar System.
• Run denial reports, extract, clean and prepare files.
• Back up Program Coordinator/Program Admin; correct denials.
• Maintain confidentiality of medical and financial records.

Skills

English proficiency

Detail oriented

Team player

Flexibility

Under pressure

Confidentiality

Customer service

Education

High school diploma or GED

Accounting courses preferred

Experience in accounting or bookkeeping preferred

Tools

Word

Excel

Email communications

Job description

• 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
• 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:

• Minimum of a high school diploma or GED, or higher
• Some accounting courses preferred Experience:
• Minimum of two (2) years of medical billing experience
• Experience in accounting or bookkeeping preferred
• Required knowledge, skills, abilities:
• Knowledge of Medicare/Medical commercial insurance and managed care insurance, medical terminology and customer service experience.
• Knowledge of HDX and ICD-9 & CPT-4 coding.
• Computer proficiency in Word, Excel and email communications.
• 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.
• Excellent verbal/written English skills and effective interpersonal skills. Physical Requirements:
• Possess the mobility to maneuver throughout the building.
• Use a keyboard and computer terminal, telephone and other office equipment
• Occasional moving of furniture or equipment or office supplies
• Driving for errands and special projects.
• Ability to lift up to 25 lbs. Other Requirements:
• Criminal background check via livescan fingerprint
• Must have TB test performed and submit results
• Automobile, valid driver's license and auto insurance per agency policy; or have access to reliable transportation

Working Conditions:

• Work will be indoors in a comfortable shared office environment.
• Some work may be spent driving a vehicle on community roads for related errands or tasks.

Hours and other conditions:

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

Qualifications

Behaviors

Required

Team Player

: Works well as a member of a group

Detail Oriented

: Capable of carrying out a given task with all details necessary to get the task done well

Enthusiastic

: Shows intense and eager enjoyment and interest

Motivations

Required

Flexibility

: Inspired to perform well when granted the ability to set your own schedule and goals

Equal Opportunity Employer
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