CalAIM Billing and Data Analysis Coordinator

Job Title: CalAIM Billing and Data Analysis Coordinator
FLSA Status: Non-Exempt, Full-time
Pay Range: $23.34-$29.71/hour ($.58/hour bilingual differential)
Department: Reentry Programs and Services
Supervisor: Reentry Resource Center/CalAIM Director

Start date: ASAP

To apply go to: https://restorativepartners.org/careers/

Organization Overview
Restorative Partners, Inc. (RP) is a nonprofit dedicated to transforming lives affected by crime through healing services and supportive relationships. We champion dignity, respect, and the capacity for change in every individual. Our goal is to accompany those impacted by crime on their journey of restoration, fostering accountability and promoting non-violence. Through education, compassion, and restorative practices, we strive to break cycles of harm and build a more just community. www.restorativepartners.org

Position Overview

As part of the Reentry team, the CalAIM Billing and Data Analyst supports the Reentry Resource Center/CalAIM Director in CalAIM billing and data analysis. Key responsibilities include, but are not limited to, managing member’s accounts, billing, and ensuring accurate and timely payment for services. This role requires strong communication skills, empathy, and commitment to Restorative Partners’ mission.

Roles & Responsibilities

Client Support and Case Management

• Understand the CenCal authorization processes and procedures
• Obtain referrals and authorizations on a daily basis
• Verify insurance coverage and process claims
• Generate and enter member's billing for services rendered
• Review member’s accounts for accuracy and completeness
• Follow up on outstanding claims and denials
• Reconcile accounts and prepare financial reports as needed
• Sustain accurate and up-to-date records of member’s accounts and billing activities
• Prepare reports on account receivables, billing trends and payment collections
• Ensure compliance with healthcare regulations and billing guidelines
• Maintain compliance with all applicable county, state and federal laws and regulations, funder and program requirements
• Maintain confidentiality of participant files per HIPAA and all applicable guidelines

Database

• Serve as lead administrator for RP’s internal database
• Work with department heads and program staff to ensure forms, profiles, tracking, and information are up to date
• Make back-end changes and updates to the database as needed
• Reviews data for accuracy. Follow-ups with responsible program staff on missing or incorrect information to ensure integrity of data
• Works with the Reentry Center Director in the Continuum of Care/HMIS Program
• Update and maintain RP’s Homeless Management Information System (HMIS)
• Serve as main trainer for use of RP’s database
• Conduct regular staff initial and ongoing training for data entry
• Pull regular reports for grant reporting, donor engagement, general outreach, etc.

Community Outreach and Networking

• Build and conserve relationships with local healthcare providers, and government agencies to create a strong network
• Under the direction of the Reentry Resource Center Director may participate in community outreach and networking events, when appropriate

Administrative Duties

• Support tracking and reporting for CalAIM invoicing
• Complete documentation required for data reporting and outcome tracking
• Meet regularly with the Director and other members of the Reentry Programs & Services Team
• Perform administrative tasks including timely record keeping and data entry
• Maintain up to date, adequate records and other documentation necessary for the collection of data and statistics pertaining to program outcomes, demographics, and information as required by funders

Professional Development

• Attend required workshops, webinars, and conferences to enhance skills and knowledge
• Participate in regular supervision

Other duties as assigned

Knowledge, Skills, Talents & Abilities

• In-depth understanding of restorative justice principles and practices
• Proven ability to prioritize and organize multi-faceted/multiple responsibilities simultaneously in a fast paced, changing environment while meeting deadlines and turnaround time requirements
• Must be able to work independently utilizing all resources available while staying within the boundaries of duties
• Ability to keep an elevated level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information is required
• Must be ethical and possess the ability to remain impartial and objective
• Conceptual and “big picture” understanding
• Able to function independently under time constraints
• Willing to learn and develop new responsibilities and skills
• Good organization, critical thinking, and critical thinking skills

Essential Requirements

• Valid government-issued identification
• Current driver's license and reliable transportation
• Successful completion of a comprehensive background check, as verified by law enforcement administration or other designated agency
• Compliance with organizational Mandatory Vaccination Policy
• Experience working in the social service or criminal justice field (Preferred)
• Medical Billing (Preferred)
• Apricot Database (Preferred)
• Knowledge using Power BI (Preferred)
• Strong analytical and problem solving skills
• Proficiency in Google Suite, Microsoft Office Suite, and database management systems

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. This position requires the ability to occasionally lift up to 20 pounds.

Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. This position requires the ability to occasionally lift up to 20 pounds.

Benefits

• Vacation
• Sick Time
• 11 Paid Holidays
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Phone and Internet Stipend
• Mileage Reimbursement
• Retirement Plan

To apply go to: https://restorativepartners.org/careers/

Restorative Partners is an equal opportunity employer and does not unlawfully discriminate on the basis of race, creed, national origin, disability, sex, gender identity, marital status, age, or any other protected status covered by federal or state law.

This job description does not constitute an employment agreement between the employer and employee, and is subject to change as the needs of the employer and requirements of the job change.

Job Type: Full-time

Pay: $23.34 - $29.71 per hour

Expected hours: No less than 32 per week

Benefits:

• 401(k)
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health savings account
• Paid time off
• Professional development assistance
• Retirement plan

Schedule:

• 8 hour shift

People with a criminal record are encouraged to apply

Ability to Relocate:

• San Luis Obispo, CA: Relocate before starting work (Required)

Work Location: In person

Salary : $23 - $30