Salvation Army Western Territory
Intake and Billing Specialist
Salvation Army Western Territory, Salida, California, United States, 95368
Intake and Billing Specialist
The Intake and Billing Specialist will be responsible for ensuring pre-authorization for client intake and for submitting billing to Managed Care Plan Providers for services provided under the CalAim Short Term Post-Hospitalization Housing Program. Duties and Responsibilities: Establish and obtain pre-authorization for client eligibility prior to intake into the program using the Medi-Cal's TAR (Treatment Authorization Form) and maintain authorizations for each patient Accounts Receivable billing and collection from Managed Care Plan Providers Complete the intake of clients into the program including required documentation as directed Medi Cal coding for all reimbursable medical services received following program procedures Input of medical billing codes for claims into medical billing software in a timely manner meeting submission timelines Assist with resolving questions and/or problems with billing Follow-up with billings and claims Reconciliation and auditing of accounts receivable Reviews and verifies accuracy, completeness, and integrity of claims Maintains files for the Post-Hospitalization Program Other related duties as required Education and Experience: High school diploma or equivalent (required) 18 years old (required) Education and/or experience in medical billing, especially Medi Cal billing and medical billing software Medical terminology course passed with at least a "C" in the past 5 years (preferred) Experience with disadvantaged populations, whether through work, volunteering is helpful Skills and Abilities: Typing of 35 words per minute 10-key and data entry skills Intermediate skills in Microsoft software to include Word, Excel, PowerPoint and Access Ability to prioritize work and multi-task simultaneous tasks Ability to communicate effectively and accurately Have good social interaction skills Physical Requirements: Ability to lift up to 25 lbs. (usually file boxes) Equipment Used: Modern Office Equipment and Relevant Software Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Intake and Billing Specialist will be responsible for ensuring pre-authorization for client intake and for submitting billing to Managed Care Plan Providers for services provided under the CalAim Short Term Post-Hospitalization Housing Program. Duties and Responsibilities: Establish and obtain pre-authorization for client eligibility prior to intake into the program using the Medi-Cal's TAR (Treatment Authorization Form) and maintain authorizations for each patient Accounts Receivable billing and collection from Managed Care Plan Providers Complete the intake of clients into the program including required documentation as directed Medi Cal coding for all reimbursable medical services received following program procedures Input of medical billing codes for claims into medical billing software in a timely manner meeting submission timelines Assist with resolving questions and/or problems with billing Follow-up with billings and claims Reconciliation and auditing of accounts receivable Reviews and verifies accuracy, completeness, and integrity of claims Maintains files for the Post-Hospitalization Program Other related duties as required Education and Experience: High school diploma or equivalent (required) 18 years old (required) Education and/or experience in medical billing, especially Medi Cal billing and medical billing software Medical terminology course passed with at least a "C" in the past 5 years (preferred) Experience with disadvantaged populations, whether through work, volunteering is helpful Skills and Abilities: Typing of 35 words per minute 10-key and data entry skills Intermediate skills in Microsoft software to include Word, Excel, PowerPoint and Access Ability to prioritize work and multi-task simultaneous tasks Ability to communicate effectively and accurately Have good social interaction skills Physical Requirements: Ability to lift up to 25 lbs. (usually file boxes) Equipment Used: Modern Office Equipment and Relevant Software Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.