Billing Specialist-Temporary

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Ensure accurate information is entered 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 confirm accuracy & completeness of client and billing data
• Attend Santa Clara County My Avatar User Meeting
• Review Power BI reports
• Review Admin correction log
• Oversee openings in County My Avatar System
• Run denial report from County My Avatar System, extracts Denial file, cleans it and prepares file.
• Back up Program Coordinator /Program Admin; corrects state and County denials
• Ensures strict confidentiality of medical and financial records.
• Performs miscellaneous job-related duties as assigned.
• Maintain filing and reporting systems, implement changes to filing and reporting systems as needed
• Flexibility and willingness to take on new tasks.
• Demonstrated ability to work in an environment that promotes compassion, service, and social justice.
• Commitment and support for organizational initiatives

Support the clinical team and perform other administrative duties as assigned by the supervisor

QUALIFICATIONS:

Education:

Minimum of a high school diploma or GED, or higher

Some accounting courses preferred Experience:

Minimum of two (2) years of medical billing experience

Experience in accounting or bookkeeping preferred Required knowledge, skills, abilities:

Knowledge of Medicare/Medical commercial insurance and managed care insurance, medical terminology and customer service experience.

Knowledge of HDX and ICD-9 & CPT-4 coding.

Computer proficiency in Word, Excel and email communications.

Excellent problem-solving skills

Ability to work well under pressure, act independently, prioritize tasks, and manage multiple projects in a fast-paced office environment; excellent organizational and time management skills.

Excellent verbal/written English skills and effective interpersonal skills. Physical Requirements:

Possess the mobility to maneuver throughout the building.

Use a keyboard and computer terminal, telephone and other office equipment

Occasional moving of furniture or equipment or office supplies

Driving for errands and special projects.

Ability to lift up to 25 lbs. Other Requirements:

Criminal background check via livescan fingerprint

Must have TB test performed and submit results

Automobile, valid driver's license and auto insurance per agency policy; or have access to reliable transportation

Working Conditions:

Work will be indoors in a comfortable shared office environment.

Some work may be spent driving a vehicle on community roads for related errands or tasks.

Hours and other conditions:

Standard office hours are Monday through Friday, from 8:00 a.m. to 5:00 p.m.