CalAIM Data & Billing Specialist

ADP, Inc.; Sacramento (CA); On-site; USD 50,000 - 54,000; Full time

Benefits offered by this job

Health insurance

PTO

Holidays

Personal Day

HSA contributions

Flexible Spending Account

Employee Assistance Program

CEU allowance

Job summary

HOPE Cooperative in Sacramento, a nonprofit provider of mental health and housing services, seeks a Cal AIM Data Specialist to ensure accuracy, compliance, and efficiency of CalAIM service delivery. The role supports the revenue cycle by reviewing authorizations and claims, identifying errors, monitoring billing trends, and ensuring adherence to payer rules and internal standards.

The ideal candidate is detail-oriented and experienced in behavioral health billing practices.

Qualifications

• High School diploma or equivalent.
• Medi-Cal billing experience and EHR system.
• Two years of office work experience with attention to details.

Responsibilities

• Verify correct entry into EHR systems (Salesforce and HMIS) and prepare claims correction spreadsheets.
• Build new client profiles within Salesforce upon referrals.
• Maintain authorization status for services.
• Maintain census data for residential sites.
• Check and update monthly Medi-Cal eligibility for CalAIM clients.
• Collaborate with billing entities to ensure accuracy of claims.
• Act as liaison to partnering care plans and attend meetings.
• Complete all forms and reports required by the program on time.
• Ensure PHI confidentiality per HIPAA.

Skills

Medi-Cal billing

EHR experience

Detail-oriented

Education

High School diploma or equivalent

Tools

Salesforce

HMIS

Job description

HOPE Cooperative in Sacramento, a nonprofit provider of mental health and housing services, seeks a Cal AIM Data Specialist to ensure accuracy, compliance, and efficiency of CalAIM service delivery. The role supports the revenue cycle by reviewing authorizations and claims, identifying errors, monitoring billing trends, and ensuring adherence to payer rules and internal standards.

The ideal candidate is detail-oriented and experienced in behavioral health billing practices.