CalAIM Data & Billing Specialist - Impactful Nonprofit

Hope Cooperatives (TLCS); Sacramento (CA); On-site; USD 33,000 - 36,000; Full time

Benefits offered by this job

Health insurance

PTO days

Flexible scheduling

Laptop provided

CEU allowance

Job summary

HOPE Cooperative (TLCS) seeks a Cal AIM Data Specialist in Sacramento to ensure accurate, compliant service delivery and support the revenue cycle. The role emphasizes detail-oriented data review, user training, and adherence to payer rules.

Reporting to the CalAIM Program Manager, you will verify entries in Salesforce and HMIS, maintain authorizations, and collaborate with care plans to drive efficient billing while upholding HIPAA and safety standards.

Qualifications

• Experience with Medi-Cal billing and EHR systems.
• Two years of office work with strong attention to detail.

Responsibilities

• Verify entry into CalAIM EHRs (Salesforce & HMIS) and submit correction spreadsheets.
• Create new client profiles in Salesforce from referrals.
• Maintain authorization status and census data for services.
• Check monthly Medi-Cal eligibility for CalAIM clients.
• Coordinate with billing entities to ensure accuracy of claims.
• Attend meetings with partnering care plans and trainings.
• Prepare reports and ensure HIPAA-compliant paperwork.

Skills

Medi-Cal billing

EHR system

Detail-oriented

Office administration

Education

High School diploma or equivalent

Tools

Salesforce

HMIS

Job description

HOPE Cooperative (TLCS) seeks a Cal AIM Data Specialist in Sacramento to ensure accurate, compliant service delivery and support the revenue cycle. The role emphasizes detail-oriented data review, user training, and adherence to payer rules.

Reporting to the CalAIM Program Manager, you will verify entries in Salesforce and HMIS, maintain authorizations, and collaborate with care plans to drive efficient billing while upholding HIPAA and safety standards.