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Medicare And Medi-Cal Biller
About the Job
Department: Administration – Finance and HCH
FLSA Status: Non-Exempt
Reports To: CFO and Administrator of HCH
Summary: Responsible for the MSSP (Multipurpose Senior Services Program) billing and follow-up collections of all claims and taking actions as needed to ensure full payment for services rendered and Financial Reporting to CDA. Also, assists with the Home Care and Hospice billing and coding.
Essential Functions
- Completes all claims billing for MSSP services, including Care Management, Care Support and Waiver Services.
- Monitors and reviews all Waiver Services provided to the clients.
- Conducts pre-billing audits to ensure the accuracy of documentation.
- Generates reports at the end of month close reflecting revenues, expenses, and accounts receivable and collections.
- Generates reports for CDA – monthly, quarterly and annually per CDA requirement.
- Communicates with the MSSP Team for all billing issues.
- Verifies Medi-Cal eligibility for new referrals when requested.
- Manages vendor contracts from contract creation through execution and contract renewal.
- Conducts ongoing analysis to ensure proper vendor performance and cost utilization.
- Communicate and coordinate with HCH/HH department team for coding and billing needs.
- Perform assessments of HCH/HH coding
- Attend the HCH/HH department's admin meeting and collaborate with the team for business development.
- Assists with Fiscal audits and CDA audits.
- Attends department and agency meetings.
- Assists with counting Nutrition Dept Meal Contributions.
- Performs other duties.
- Prior experience in Medi-Cal billing, eligibility verification, and claim status is preferred.
- Associate degree with an emphasis in Medi-Cal billing, Medi-Cal coding, health information management, or a related field. May be substituted with one year of task-specific experience.
- Great attention to detail, good organizational skills, and ability to manage and prioritize multiple tasks in a fast-paced environment.
- Excellent verbal and written communication skills and demonstrated business telephone skills.
- Proficient in MS Office and the Internet.
- Must pass a background check.
Qualified applicants with criminal history will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
We may provide reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please call (415) 677-7600 for special assistance.
About the Company
Overview
Self-Help for the Elderly is a private community-based non-profit organization. Our mission is to promote the independence, dignity and self-worth of seniors. We will achieve this by empowering seniors to help themselves and by providing a comprehensive range of multicultural and multilingual services.
Founded in 1966, Self-Help offers a vast array of health care and social services to over 40,000 seniors and disabled adults annually in San Francisco, San Mateo, Santa Clara and Alameda counties. More than 90% of the agency’s clients are members of ethnic communities; and over 90% of Self-Help’s current staff is bilingual and bicultural in various Chinese dialects, Vietnamese, Tagalog, Spanish or Russian. All direct service staff are bilingual in at least one of the above languages and are culturally and linguistically competent to provide services to the target population.
Self-Help for the Elderly has earned a reputation for employing and providing housekeeping jobs in San Francisco in the form of house cleaning services, commercial cleaning services, and job training programs. In addition, current customers have come to rely on their social services such as home health care, assisted living, hospice care, in-home care, home care assistance, senior care, adult day care, and elderly care. Proudly serving Richmond District, Sunset District, Chinatown, Nob Hill, San Mateo, Marina District, Pacific Heights, Mission District, Hayes Valley, Daly City and surrounding areas since 1966.
Skills
Key Details
- Experience:
- Entry Level
- Job Domain/Function:
- Non-profit Organizations
- Job Type:
- Onsite
- Employment Type:
- Contract
- Number of position(s):
- 25
- Educational qualifications:
- Students & Fresh Graduates