Billing Specialist-Temporary

Catholic Charities of Santa Clara County; San Jose (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

Catholic Charities of Santa Clara County is seeking a detail-oriented administrative professional to support the clinical team with Medi-Cal billing and related data entry. You will ensure accurate information is entered into the County My Avatar System, verify eligibility, and prepare denial and reporting files as needed.

The role requires knowledge of medical billing processes, strong Excel/Word skills, and a commitment to confidentiality in a fast-paced, mission-driven environment.

Qualifications

• Minimum of two (2) years of medical billing experience.
• Knowledge of Medicare/Medical insurance and managed care insurance.
• Knowledge of HDX and ICD-9 & CPT-4 coding.
• Computer proficiency in Word, Excel and email communications.
• Ability to work well under pressure, prioritize tasks, and manage multiple projects.

Responsibilities

• Enter 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 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, extract Denial file, clean it and prepare file.
• Back up Program Coordinator /Program Admin; corrects state and County denials.
• Ensure strict confidentiality of medical and financial records.
• Maintain filing and reporting systems, implement changes to filing and reporting systems as needed.
• Flexibility to take on new tasks.
• Demonstrated commitment to compassion, service, and social justice.

Skills

Medical billing experience

Customer service

Verbal/written English

Time management

Education

High school diploma or GED

Some accounting coursework

Tools

HDX system

Microsoft Excel

Microsoft Word

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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