Job Description
Job Description
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.
Position Details
Title : Medi-Cal Claims Billing Specialist
Classification : Full time (1.0 FTE) Non-Exempt, 40 hours per week
Location : Oakland, CA / In-person
Regular Work Schedule : Monday - Friday
Compensation :
- Hourly range : $26.00-$28.00 per hour
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 :
BA / BS degree preferredMinimum one year of experience with Microsoft Office applications - Excel and WordAt least one year of experience with Google SuiteProfessional experience in an office settingAt least one year of experience with Medi-Cal billing procedures and processes is preferred.Competencies (Skills, Abilities, and Knowledge) :
Ability to work independently and collaboratively as part of a teamStrong ability to prioritize projects with competing deadlinesKnowledge of issues of race, class, and ethnicity and experience working with diverse communitiesSolid understanding of processing Medi-Cal services and claimsExperienced and knowledgeable with EHR systems; preferred experience with Smart Care, EPIC and / or Welligent EHR systemsExcellent interpersonal, communication, and writing skillsKnowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platformBenefits :
Employer-paid Medical Benefits for Employees100% employer-paid dental and vision
Dependent medical, dental and vision (50% employer-paid)Medical and Dependent Care FSA and commuter plans100% employer-paid life insurance long-term disability insuranceVoluntary accident, term life and hospital indemnity insurance403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employmentThree weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service12 paid holidays plus one paid floating holiday per year4 paid self-care days per yearWellness stipend ($100.00 per month)Employee Assistance Program (EAP)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.