Billing Specialist-Temporary

Catholic Charities of Santa Clara County•San Jose, CA

1d•Hybrid

About The Position

This is a temporary Billing Specialist position responsible for ensuring accurate information is entered into the County My Avatar System to bill Medi-Cal claims. The role involves confirming Medi-Cal eligibility, running and reviewing reports, attending user meetings, and managing denial reports. The specialist will also back up program coordinators/admins, maintain confidentiality of records, and perform miscellaneous job-related duties. Flexibility, compassion, and a commitment to social justice are important qualities for this role. The position also supports the clinical team with administrative duties.

Requirements

Minimum of a high school diploma or GED, or higher
Minimum of two (2) years of medical billing experience
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.
Possess the mobility to maneuver throughout the building.
Use a keyboard and computer terminal, telephone and other office equipment
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

Nice To Haves

Some accounting courses preferred
Experience in accounting or bookkeeping preferred

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