Billing Specialist-Temporary

Catholic Charities of Santa Clara County; San Jose (CA); On-site; USD 55,000 - 70,000; Full time

Job summary

Catholic Charities of Santa Clara County is seeking an Administrative Billing Specialist to support the clinical team and ensure accurate Medi-Cal billing data through the County My Avatar System. This role requires meticulous data entry, eligibility verification, and collaboration with finance and program staff.

You will review Power BI reports, maintain filing and reporting systems, and assist with confidential medical and financial records.

Qualifications

• Minimum two years medical billing experience.
• Knowledge of Medicare/Medical and managed care insurance.
• Knowledge of HDX and ICD-9 & CPT-4 coding.
• Proficient with Word, Excel and email communications.
• Excellent problem-solving skills.
• Able to work under pressure, prioritize tasks, and manage multiple projects.

Responsibilities

• Enter data into the County My Avatar System to bill Medi-Cal claims.
• Confirm Medi-Cal eligibility before monthly submission of claims.
• Review Power BI reports.
• Back up Program Coordinator / Program Admin; corrects state and County denials.
• Maintain filing and reporting systems; implement changes as needed.

Skills

Medical billing

Customer service

Problem solving

Time management

English proficiency

Education

High school diploma or GED

Tools

Word

Excel

Email

Job description

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

Some accounting courses preferred Experience:

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

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 driver’s 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.