Volunteers of America Los Angeles · 1 week ago
CalAIM Billing Specialist II
Los Angeles, CA, US
Full-time
Onsite
Entry Level
$25.65/hr - $27/hr
2+ years expVolunteers of America Los Angeles is a non-profit organization dedicated to serving vulnerable populations through various social services. The CalAIM Billing Specialist II will be responsible for reviewing, submitting, and tracking claims for health supportive services, ensuring billing accuracy and providing support and training to program staff.
Non ProfitSocial
Responsibilities
The CalAIM Billing Specialist will ensure clean CS Housing and ECM claims are submitted through the billing portal and clearinghouse
Monitor billing errors that could involve issues around data entry for services in queue (i.e. units of services, time start and end time, etc.) and notify responsible parties to make timely corrections
Monitor and review denied claims and resubmit with corrected billing errors
Track all payments and ensure they are posted in the billing portal and all accounting systems
Support, coach, and train CalAIM program staff and team members in billing processes
Maintain and store all billing supportive documentation in designated Information System, as required by State guidelines
Assist in maintaining confidential records of members served
Maintain active accounts in all billing-related and Insurer portals
Conduct program site visits, as assigned by need
Develop, record, and distribute monthly reports, and/or general information, as needed
Support, as needed, with generating CalAIM services in billing portal and submit to designated Program Leadership
Assist leadership in reconciling data, as needed
Interact with accounting to ensure accuracy in billing and payments received
Remain current in updates made by Insurers, the state, and other regulatory bodies to ensure ongoing compliances and upholding best billing practices
Other duties as may be assigned by CQI Leadership
Submit clean claims in billing portals
Monitor and support in correcting billing errors
Resubmit denied claims with necessary corrections
Track and document claims payments
Train and coach CalAIM team members
Other duties as required and is subject to change at any time
Qualification
Required
Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications
Associate Degree or equivalent combination of education and work experience (2 years of relevant experience / coursework)
1 year of experience with billing
2 years of experience in Electronic Health Record database operations and/or billing submissions
1 year of experience in data-driven and/or quality assurance environment
Preferred
Bachelor Degree
Medi-Cal billing certificate
Medi-Cal billing experience
Experience with CalAIM
Benefits
Competitive medical, dental, vision and retirement benefits
Company
Volunteers of America Los Angeles
VOALA is a non-profit human services organization committed to serving people in need, strengthening families, and building communities.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jordan Vasquez
People Operations Business Partner
Vanessa Brown
People Relations Partner Specialist
Recent News
2022-06-14
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