CalAIM Medical Billing & Claims Coordinator
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About The Position
Under the direction and supervision of the CalAIM QA/Compliance Manager or Regional Director, the Medical Billing and Claims Coordinator is responsible for assisting with the planning and coordinating of billing and claims processing for the CalAIM Programs division. This position ensures the timely and accurate medical/healthcare claims preparation, submission/resubmission process, resolution of issues, as well as compliance with the billing claims policies and guidelines of DHCS Managed Care Plans (MCPs). The Medical Billing and Claims Coordinator provides timely internal communications with leaders, compliance training for staff, and process improvement recommendations through quality assurance monitoring. The position also handles billing data input and ensures compliant billing practices, accurate coding, adherence to regulations, maintenance of accurate billing reports, and performance of internal audits. A strong collaborator, the Medical Billing and Claims Coordinator will work with the Finance and Compliance Departments, internal CalAIM leadership and regional teams, and external stakeholders including MCPs and network partners to coordinate and facilitate efficient CalAIM billing claims activities. Their analytical abilities, attention to detail, and strong communication skills contribute to CalAIM Program’s success and LSS’s mission to embrace, equip, and empower individuals, families, and communities toward self-sufficiency.
