Nonprofit Medi-Cal Claims Specialist (Part-Time)

WestCoast Children's Clinic • Oakland, CA

9d • $26 - $28 • Onsite

About The Position

WestCoast Children’s Clinic is a nonprofit community psychology clinic in Oakland, California, providing mental health services to children, youth, and families throughout the Bay Area. The clinic describes its work as client-centered, trauma-informed, collaborative, and committed to justice and equity.

The part-time, non-exempt Medi-Cal Claims Billing Specialist enters claims and corrections accurately and on time and reconciles information between external and internal electronic health record (EHR) systems. The role works with providers, supervisors, and county staff to complete and correct billing, prepares invoices and supporting documentation, and helps ensure healthcare data is integrated and accurate. The position is in person at the Oakland office, with a Monday–Friday schedule and 20 hours per week. Compensation is $26–$28 per hour.

Requirements

• At least one year of experience using Microsoft Office applications, including Excel and Word.
• At least one year of experience using Google Suite.
• Professional experience in an office setting.
• Ability to work in person at the Oakland, California office.
• Ability to work independently and collaboratively as part of a team.
• Ability to prioritize projects with competing deadlines.
• Knowledge of issues related to race, class, and ethnicity, and experience working with diverse communities.
• Solid understanding of processing Medi-Cal services and claims.
• Excellent interpersonal, communication, and writing skills.
• Knowledge of MS Office Suite, including Excel and PowerPoint, and Google Calendar and Google Mail on a Mac OS platform.

Nice To Haves

• BA/BS degree preferred.
• At least one year of experience with Medi-Cal billing procedures and processes preferred.
• Experience and knowledge with EHR systems; experience with SmartCare, EPIC, and/or Welligent preferred.

Responsibilities

• Generate billing reports from Welligent and enter claims data into Alameda County’s SmartCare EHR; upload services to San Francisco’s EPIC EHR.
• Work with providers, supervisors, and county staff to complete the billing process and correct claims.
• Reconcile monthly claims from SmartCare and EPIC against internally generated reports.
• Prepare and submit Correction Claim Reports for Alameda and San Francisco, with supporting documentation.
• Prepare monthly invoices for Alameda and San Francisco Medi-Cal.
• Prepare monthly HCFA forms for OHC billings.

Benefits

• Medical benefits, prorated for part-time.
• Medical and dependent care FSA and commuter plans, prorated for part-time.
• Annual incentive compensation of 10% per year.
• 403(b) and Roth retirement plan options; employer contribution targeted at 7.5% after the first year, prorated for part-time.
• Three weeks of PTO during the first year, increasing to four or more weeks with additional years of service, prorated for part-time.
• 11 paid holidays plus one paid floating holiday per year.
• Four paid self-care days per year.
• Wellness stipend.
• Employee Assistance Program (EAP).

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed