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.