What are the responsibilities and job description for the CalAIM Biller Quality Specialist - Remote or Hybrid position at CyberCoders?
CalAIM Biller Quality Specialist (Remote, in-office, or hybrid!)
With deep roots in Fresno, we are a local organization committed to building a strong community. We offer a range of services to our neighbors, including housing services, mental health services, case management, emergency housing, and more. We're looking for a professional with a background in medical billing, and preferably experience working with CalAIM to help ensure that our billing and billing processes are accurate, efficient, and in compliance with regulations. If that sounds like something you can help us with, we'd love to speak with you!
Position Overview
The CalAIM Biller Quality Specialist is responsible for ensuring the accuracy and compliance of medical billing within the California Advancing and Innovating Medi-Cal (CalAIM) program. This role aims to enhance billing processes, ensure adherence to regulatory standards, and improve overall billing quality within healthcare services.
Key Responsibilities
Looking forward to receiving your resume through our website and going over the position with you. Clicking apply is the best way to apply, but you may also:
hector.ibave@cybercoders.com
For this position, you must be currently authorized to work in the United States without the need for sponsorship for a non-immigrant visa.
CyberCoders will consider for Employment in the City of Los Angeles qualified Applicants with Criminal Histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.
This job was first posted by CyberCoders on 02/19/2025 and applications will be accepted on an ongoing basis until the position is filled or closed.
CyberCoders is proud to be an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please contact a member of our Human Resources team to make arrangements.
With deep roots in Fresno, we are a local organization committed to building a strong community. We offer a range of services to our neighbors, including housing services, mental health services, case management, emergency housing, and more. We're looking for a professional with a background in medical billing, and preferably experience working with CalAIM to help ensure that our billing and billing processes are accurate, efficient, and in compliance with regulations. If that sounds like something you can help us with, we'd love to speak with you!
Position Overview
The CalAIM Biller Quality Specialist is responsible for ensuring the accuracy and compliance of medical billing within the California Advancing and Innovating Medi-Cal (CalAIM) program. This role aims to enhance billing processes, ensure adherence to regulatory standards, and improve overall billing quality within healthcare services.
Key Responsibilities
- Monitor billing practices to ensure accuracy and adherence to healthcare accounting standards.
- Conduct audits of billing processes and documentation to identify areas for improvement.
- Identify and review billing errors and discrepancies.
- Collaborate with billing and coding teams to optimize billing workflows and resolve discrepancies.
- Provide training and support to staff on billing compliance and quality assurance best practices.
- Prepare reports on billing performance and compliance metrics for management review.
- Implement process improvement initiatives to enhance billing accuracy and efficiency.
- You must have experience working within the CalAIM/Medi-CAL framework.
- Bachelor's degree in healthcare administration, accounting, or a related field.
- Proven experience in medical billing and healthcare accounting, with a focus on CalAIM compliance.
- Strong knowledge of billing compliance regulations and best practices.
- Excellent analytical skills with the ability to conduct thorough billing analyses.
- Experience in billing management and administration is a plus.
- Strong communication skills, both verbal and written, to facilitate training and reporting.
- Detail-oriented with a commitment to maintaining high standards of quality assurance.
- Competitive compensation from $70,000 up to $120,000/year for exceptional candidates with direct experience in this field.
- In-office, remote, or hybrid options are all on the table for this position!
- 401k with matching
- Paid time off
- Health insurance
- Dental insurance
- Vision insurance
- Employee assistance program
Looking forward to receiving your resume through our website and going over the position with you. Clicking apply is the best way to apply, but you may also:
hector.ibave@cybercoders.com
- Please do NOT change the email subject line in any way. You must keep the JobID: linkedin : HI2-1841630 -- in the email subject line for your application to be considered.***
For this position, you must be currently authorized to work in the United States without the need for sponsorship for a non-immigrant visa.
CyberCoders will consider for Employment in the City of Los Angeles qualified Applicants with Criminal Histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.
This job was first posted by CyberCoders on 02/19/2025 and applications will be accepted on an ongoing basis until the position is filled or closed.
CyberCoders is proud to be an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please contact a member of our Human Resources team to make arrangements.
Salary : $70,000 - $120,000
