Nonprofit Medi-Cal Claims Specialist

WestCoast Children's Clinic•Oakland, CA

15d•$26 - $28•Hybrid

About The Position

WestCoast Children’s Clinic, located in Oakland, California, is a non-profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children’s Clinic means being part of an organization that is client-centered, trauma-informed, collaborative, and committed to justice and equity. The Medi-Cal Claims Billing Specialist will hold the crucial responsibility of inputting claims and corrections with precision and timeliness. Additionally, this role involves the monthly reconciliation of data between external and internal Electronic Health Record (EHR) systems. We are seeking an individual who is not only detail-oriented, but also embraces the opportunity to contribute to the seamless integration and accuracy of our healthcare data.

Requirements

BA/BS degree preferred
Minimum one year of experience with Microsoft Office applications - Excel and Word
At least one year of experience with Google Suite
Professional experience in an office setting
At least one year of experience with Medi-Cal billing procedures and processes is preferred.
Ability to work independently and collaboratively as part of a team
Strong ability to prioritize projects with competing deadlines
Knowledge of issues of race, class, and ethnicity and experience working with diverse communities
Solid understanding of processing Medi-Cal services and claims
Experienced and knowledgeable with EHR systems; preferred experience with Smart Care, EPIC and/or Welligent EHR systems
Excellent interpersonal, communication, and writing skills
Knowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platform

Responsibilities

Generate billing reports from Welligent (WestCoast’s internal EHR) and input claims data into Alameda County’s EHR (Smart Care) and upload services to the City and County San Francisco EHR (EPIC).
Collaborate with providers, supervisors, and county staff to complete billing process to correct claims.
Reconcile monthly claims generated from Smart Care and EPIC systems to internally generated reports.
Prepare and submit Correction Claim Reports for Alameda and San Francisco with appropriate supporting documentation.
Prepares monthly invoices for Alameda and San Francisco Medi-Cal.
Monthly preparation of HCFA forms for OHC billings.

Benefits

Employer-paid Medical Benefits for Employees
100% employer-paid dental and vision
Dependent medical, dental and vision (50% employer-paid)
Medical and Dependent Care FSA and commuter plans
100% employer-paid life insurance long-term disability insurance
Voluntary accident, term life and hospital indemnity insurance
Annual incentive compensation (10% per year)
403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employment
Three weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service
12 paid holidays plus one paid floating holiday per year
4 paid self-care days per year
Wellness stipend ($100.00 per month)
Employee Assistance Program (EAP)