Nonprofit Medi-Cal Claims Specialist (Part-Time)

WestCoast Children's Clinic; Oakland (CA); On-site; USD 36,000 - 39,000; Part time

Benefits offered by this job

Medical benefits

PTO and holidays

Retirement plan

Job summary

WestCoast Children’s Clinic in Oakland, CA seeks a part-time Medi-Cal Claims Specialist to input claims, run reports, and reconcile data across multiple EHR systems. This role supports timely and accurate billing processes in a community clinic setting.

The position requires attention to detail, collaboration with providers and county staff, and in-person presence at our Oakland office. Benefits include medical options, PTO, holidays, and retirement plan participation.

Qualifications

• 1+ year using Microsoft Excel and Word
• 1+ year using Google Workspace
• Professional office experience
• 1+ year Medi-Cal billing knowledge preferred
• In-person work in Oakland, CA (relocation not provided)

Responsibilities

• Generate billing reports from Welligent and input claims data into Alameda County’s EHR (Smart Care) and upload services to EPIC.
• Collaborate with providers, supervisors, and county staff to complete billing process to correct claims.
• Reconcile monthly claims from SmartCare and EPIC with internal reports.
• Prepare and submit Correction Claim Reports for Alameda and San Francisco with supporting documents.
• Prepares monthly invoices for Alameda and San Francisco Medi-Cal.
• Monthly preparation of HCFA forms for OHC billings.

Skills

Excel

Word

Google Suite

Office experience

Medi-Cal billing

Tools

SmartCare

EPIC

Welligent

Job description

Nonprofit Medi-Cal Claims Specialist (Part-Time)

Oakland, CA

WestCoast Children’s Clinic, located in Oakland, California, is a non-profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children’s Clinic means being part of an organization that is client-centered, trauma-informed, collaborative, and committed to justice and equity.

Classification: Part-Time (1.0 FTE) Non-Exempt (Hourly), 20 hours per week

Location:Oakland, CA / In-person

Regular Work Schedule: Monday - Friday

Compensation:

• Hourly range: $26.00-$28.00 per hour

The Medi-Cal Claims Billing Specialist will hold the crucial responsibility of inputting claims and corrections with precision and timeliness. Additionally, this role involves the monthly reconciliation of data between external and internal Electronic Health Record (EHR) systems. We are seeking an individual who is not only detail-oriented, but also embraces the opportunity to contribute to the seamless integration and accuracy of our healthcare data.

Responsibilities:

• Generate billing reports from Welligent (WestCoast’s internal EHR) and input claims data into Alameda County’s EHR (Smart Care) and upload services to the City and County San Francisco EHR (EPIC).
• Collaborate with providers, supervisors, and county staff to complete billing process to correct claims.
• Reconcile monthly claims generated from SmartCare and EPIC systems to internally generated reports.
• Prepare and submit Correction Claim Reports for Alameda and San Francisco with appropriate supporting documentation.
• Prepares monthly invoices for Alameda and San Francisco Medi-Cal.
• Monthly preparation of HCFA forms for OHC billings.

Key Qualifications:

• Minimum one year of experience with Microsoft Office applications - Excel and Word
• At least one year of experience with Google Suite
• Professional experience in an office setting
• At least one year of experience with Medi-Cal billing procedures and processes is preferred.
• Ability to work in-person at our Oakland, CA office (relocation assistance not provided)

Competencies (Skills, Abilities, and Knowledge):

• Ability to work independently and collaboratively as part of a team
• Strong ability to prioritize projects with competing deadlines
• Knowledge of issues of race, class, and ethnicity and experience working with diverse communities
• Solid understanding of processing Medi-Cal services and claims
• Experienced and knowledgeable with EHR systems; preferred experience with SmartCare, EPIC and/or Welligent EHR systems
• Excellent interpersonal, communication, and writing skills
• Knowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platform
• Medical Benefits (pro-rated for part-time)
• Medical and Dependent Care FSA and commuter plans (pro-rated for part-time)
• Annual incentive compensation (10% per year)
• 403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employment (pro-rated for part-time)
• Three weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service (pro-rated for part-time)
• 11 paid holidays plus one paid floating holiday per year
• 4 paid self-care days per year
• Wellness stipend
• Employee Assistance Program (EAP)

WCC is passionate about leading and encouraging open conversations around race, gender, power, and privilege and how these impact community mental health. We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.