HMO/Medi-Cal Biller

SupportFinity™; Walnut Creek (CA); On-site; USD 38,572 - 42,705; Full time

Benefits offered by this job

Competitive compensation package

Healthcare benefits

Career growth opportunities

Job summary

SupportFinity™ in Walnut Creek is looking for an HMO/Medi-Cal Biller to assist with claim submissions and authorizations for healthcare services. This role entails keeping accurate records, engaging in follow-ups, and ensuring timely approvals for claims.

Candidates must have a high school diploma and bookkeeping experience in a healthcare environment. We offer a competitive compensation package and healthcare benefits to full-time employees.

Qualifications

• Ability to assist in claims submission and follow-up.
• Experience in tracking authorizations for healthcare.
• Skilled in documenting communications and report writing.

Responsibilities

• Assist in completion of initial and re-authorizations for custodial residents.
• Accurate tracking of authorization needed.
• Submit claims for HMO/CAL’s and follow up for approval.

Skills

AP, payroll or healthcare facility bookkeeping experience

Communication in English

Education

High School diploma or GED equivalent

Job description

Walnut Creek Skilled Nursing and Rehabilitation, 94595

$28- $31 DOE

HMO/Medi-Cal Biller (Business Office Assistant)

Essential Functions

• Assists in the completion of initial and re-authorizations as needed of all HMO/CAL custodial residents, including pertinent documentation necessary for approval.
• Keeps accurate and necessary tracking system for authorizations needed.
• Completes authorizations timely and follow up for approval.
• Submits claims for HMO/CAL’s, including follow up, phone calls and appeals.
• Researches and follows up on HMO claims as assigned by the Office Manager and Bookkeeper, i.e. claims submission, appeals, follow up and correspondence; accountability to the Business Office Manager/Bookkeeper for the assigned accounts with oral and written reports of action taken.
• Assists in the collection process of all private accounts, including phone calls, collection letters and the policy and procedure for collections. Keeps accurate documentation on all phone calls.
• Performs assistive functions as necessary or directed, i.e. letters, phone calls, photocopying, etc.
• Relieves receptionist for breaks and lunch or whenever needed.
• Engages in cross training for all business related services.

Qualifications

• High School diploma or GED equivalent.
• Speak, read, write and understand the English language.
• AP, payroll or healthcare facility bookkeeping experience.

Benefits

We offer a competitive compensation package, healthcare benefits, and excellent career growth opportunities. Health benefits for full‑time employees are offered 1st of the month following hire date.

Benefits and incentive programs (including sign‑on bonuses, if applicable) are subject to eligibility requirements and may change at any time. Sign‑on bonus terms and amounts are subject to change and are based on the employee’s date of hire.

This position requires the successful completion of a background check, pre‑employment physical, and drug screening as part of the hiring process.

The Company is an equal opportunity employer and makes employment decisions on the basis of merit. The Company prohibits unlawful discrimination against employees or applicants based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, reproductive health decision making, gender, gender identity, gender expression, age, military status, veteran status, uniformed service member status, sexual orientation, transgender identity, citizenship status, pregnancy, or any other consideration made unlawful by federal, state, or local laws. The Company also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics.