Medi-Cal Claims SpecialistOakland, CA

Medi-Cal Claims Specialist

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. 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.

Key Qualifications :

Competencies (Skills, Abilities, and Knowledge) :

Position Details and Compensation :

This is a full-time, hourly position. Work location will be in-person at our offices in the Fruitvale district of Oakland, CA. Hourly rate is $26-$28 per hour ($54,080-$58,240 per year), and includes competitive benefits package, 403b and performance-based compensation plans.

Why Work Here?

We Also Offer :

Join us and make a difference in the lives of vulnerable children and families in the Bay Area.

WCC is passionate about leading and encouraging open conversations around race, gender, power, and privilege and how these impact community mental health. We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.