Intake and Billing Specialist

OVERVIEW:

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

ADA Statement:

Qualified individuals must be able to perform the essential duties of the position with or without accommodation. A qualified person with a disability may request a modification or adjustment to the job or work environment in order to meet the physical requirements of the position. The Salvation Army will attempt to satisfy requests if the accommodation needed is reasonable and no undue hardship would result.

Acknowledgment of Religious Purposes of The Salvation Army:

Please note that The Salvation Army has a religious purpose and status as a church. We ask our employees that they do nothing to their relationship with The Salvation Army to undermine its religious mission. Employees must agree and understand that their services are a necessary part of The Army’s religious purposes and their work-related conduct must not conflict with, interfere with, or undermine such religious programs or The Army’s religious purposes.

At-Will:

Any employment relationship with this organization is of an “at-will” nature, which means that an Employee may resign at any time and the Employer may discharge an Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

Experience

• 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

Education

• High School or Equivalent or better

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 contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)