About this role
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Ensure accurate information is entered into the County My Avatar System to bill Medi-Cal claims
• Confirm Medi-Cal eligibility before monthly submission of the claims.
• Periodically run My Avatar reports to confirm accuracy & completeness of client and billing data
• Attend Santa Clara County My Avatar User Meeting
• Review Power BI reports
• Review Admin correction log
• Oversee openings in County My Avatar System
• Run denial report from County My Avatar System, extracts Denial file, cleans it and prepares file.
• Back up Program Coordinator /Program Admin; corrects state and County denials
• Ensures strict confidentiality of medical and financial records.
• Performs miscellaneous job-related duties as assigned.
• Maintain filing and reporting systems, implement changes to filing and reporting systems as needed
• Flexibility and willingness to take on new tasks.
• Demonstrated ability to work in an environment that promotes compassion, service, and social justice.
• Commitment and support for organizational initiatives
Support the clinical team and perform other administrative duties as assigned by the supervisor
QUALIFICATIONS:
Education:
● Minimum of a high school diploma or GED, or higher
● Some accounting courses preferred Experience:
● Minimum of two (2) years of medical billing experience
● Experience in accounting or bookkeeping preferred Required knowledge, skills, abilities:
● Knowledge of Medicare/Medical commercial insurance and managed care insurance, medical terminology and customer service experience.
● Knowledge of HDX and ICD-9 & CPT-4 coding.
● Computer proficiency in Word, Excel and email communications.
● Excellent problem-solving skills
● Ability to work well under pressure, act independently, prioritize tasks, and manage multiple projects in a fast-paced office environment; excellent organizational and time management skills.
● Excellent verbal/written English skills and effective interpersonal skills. Physical Requirements:
● Possess the mobility to maneuver throughout the building.
● Use a keyboard and computer terminal, telephone and other office equipment
● Occasional moving of furniture or equipment or office supplies
● Driving for errands and special projects.
● Ability to lift up to 25 lbs. Other Requirements:
● Criminal background check via livescan fingerprint
● Must have TB test performed and submit results
● Automobile, valid driver's license and auto insurance per agency policy; or have access to reliable transportation
Working Conditions:
● Work will be indoors in a comfortable shared office environment.
● Some work may be spent driving a vehicle on community roads for related errands or tasks.
Hours and other conditions:
● Standard office hours are Monday through Friday, from 8:00 a.m. to 5:00 p.m.