Medi-Cal Billing & Data Admin Specialist

CCSCC; San Jose (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

CCSCC is seeking an administrative billing specialist to support the clinical team in the County My Avatar System for Medi-Cal claims. You will verify eligibility, input data, and run reports to ensure accuracy and completeness of client records and billing data.

The role requires at least a high school diploma, two years of medical billing experience, knowledge of HDX, ICD-9 and CPT-4 coding, and strong English communication skills. Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

Qualifications

• Minimum of a high school diploma or GED, or higher.
• Some accounting courses preferred.
• Minimum of two (2) years of medical billing experience.
• Experience in accounting or bookkeeping preferred.
• Knowledge of Medicare/Medical commercial insurance and managed care insurance.

Responsibilities

• Enter accurate 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 verify data accuracy and completeness.
• Attend Santa Clara County My Avatar User Meeting.
• Review Power BI reports.
• Oversee openings in County My Avatar System.
• Run denial reports, extract, clean and prepare files.
• Back up Program Coordinator/Program Admin; correct denials.
• Maintain confidentiality of medical and financial records.

Skills

English proficiency

Detail oriented

Team player

Flexibility

Under pressure

Confidentiality

Customer service

Education

High school diploma or GED

Accounting courses preferred

Experience in accounting or bookkeeping preferred

Tools

Word

Excel

Email communications

Job description

CCSCC is seeking an administrative billing specialist to support the clinical team in the County My Avatar System for Medi-Cal claims. You will verify eligibility, input data, and run reports to ensure accuracy and completeness of client records and billing data.

The role requires at least a high school diploma, two years of medical billing experience, knowledge of HDX, ICD-9 and CPT-4 coding, and strong English communication skills. Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.