WestCoast Children's Clinic
Nonprofit Medi-Cal Claims Specialist
WestCoast Children's Clinic, San Francisco, California, United States, 94199
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Nonprofit Medi-Cal Claims Specialist
role at
WestCoast Children's Clinic
WestCoast Children's Clinic, located in Oakland, California, is a non‑profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children's Clinic means being part of an organization that is client‑centered, trauma‑informed, collaborative, and committed to justice and equity.
Position Details
Title:
Medi‑Cal Claims Billing Specialist
Classification:
Full time (1.0 FTE) Non‑Exempt (Hourly), 40 hours per week
Location:
Oakland, CA / Hybrid (In‑person for first 90 days)
Regular Work Schedule:
Monday – Friday
Compensation:
Hourly range: $26.00 – $28.00 per hour
Responsibilities:
Generate billing reports from Welligent (WestCoast's internal EHR) and input claims data into Alameda County's EHR (Smart Care) and upload services to the City and County San Francisco EHR (EPIC).
Collaborate with providers, supervisors, and county staff to complete billing process to correct claims.
Reconcile monthly claims generated from Smart Care and EPIC systems to internally generated reports.
Prepare and submit Correction Claim Reports for Alameda and San Francisco with appropriate supporting documentation.
Prepares monthly invoices for Alameda and San Francisco Medi‑Cal.
Monthly preparation of HCFA forms for OHC billings.
Key Qualifications:
BA/BS degree preferred.
Minimum one year of experience with Microsoft Office applications – Excel and Word.
At least one year of experience with Google Suite.
Professional experience in an office setting.
At least one year of experience with Medi‑Cal billing procedures and processes is preferred.
Competencies (Skills, Abilities, and Knowledge):
Ability to work independently and collaboratively as part of a team.
Strong ability to prioritize projects with competing deadlines.
Knowledge of issues of race, class, and ethnicity and experience working with diverse communities.
Solid understanding of processing Medi‑Cal services and claims.
Experienced and knowledgeable with EHR systems; preferred experience with Smart Care, EPIC and/or Welligent EHR systems.
Excellent interpersonal, communication, and writing skills.
Knowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platform.
Benefits:
Employer-paid Medical Benefits for Employees
100% employer-paid dental and vision
Dependent medical, dental and vision (50% employer-paid)
Medical and Dependent Care FSA and commuter plans
100% employer-paid life insurance, long-term disability insurance
Voluntary accident, term life and hospital indemnity insurance
Annual incentive compensation (10% per year)
403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employment
Three weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service
12 paid holidays plus one paid floating holiday per year
4 paid self‑care days per year
Wellness stipend ($100.00 per month)
Employee Assistance Program (EAP)
Seniority level:
Entry level
Employment type:
Full‑time
Job function:
Other
Industries:
Mental Health Care
We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.
Join us and make a difference in the lives of vulnerable children and families in the Bay Area.
#J-18808-Ljbffr
Nonprofit Medi-Cal Claims Specialist
role at
WestCoast Children's Clinic
WestCoast Children's Clinic, located in Oakland, California, is a non‑profit community psychology clinic that provides mental health services to Bay Area children, youth and families. Working at WestCoast Children's Clinic means being part of an organization that is client‑centered, trauma‑informed, collaborative, and committed to justice and equity.
Position Details
Title:
Medi‑Cal Claims Billing Specialist
Classification:
Full time (1.0 FTE) Non‑Exempt (Hourly), 40 hours per week
Location:
Oakland, CA / Hybrid (In‑person for first 90 days)
Regular Work Schedule:
Monday – Friday
Compensation:
Hourly range: $26.00 – $28.00 per hour
Responsibilities:
Generate billing reports from Welligent (WestCoast's internal EHR) and input claims data into Alameda County's EHR (Smart Care) and upload services to the City and County San Francisco EHR (EPIC).
Collaborate with providers, supervisors, and county staff to complete billing process to correct claims.
Reconcile monthly claims generated from Smart Care and EPIC systems to internally generated reports.
Prepare and submit Correction Claim Reports for Alameda and San Francisco with appropriate supporting documentation.
Prepares monthly invoices for Alameda and San Francisco Medi‑Cal.
Monthly preparation of HCFA forms for OHC billings.
Key Qualifications:
BA/BS degree preferred.
Minimum one year of experience with Microsoft Office applications – Excel and Word.
At least one year of experience with Google Suite.
Professional experience in an office setting.
At least one year of experience with Medi‑Cal billing procedures and processes is preferred.
Competencies (Skills, Abilities, and Knowledge):
Ability to work independently and collaboratively as part of a team.
Strong ability to prioritize projects with competing deadlines.
Knowledge of issues of race, class, and ethnicity and experience working with diverse communities.
Solid understanding of processing Medi‑Cal services and claims.
Experienced and knowledgeable with EHR systems; preferred experience with Smart Care, EPIC and/or Welligent EHR systems.
Excellent interpersonal, communication, and writing skills.
Knowledge of MS Office Suite including Excel, PowerPoint, Google Calendar, and Google Mail on a Mac OS platform.
Benefits:
Employer-paid Medical Benefits for Employees
100% employer-paid dental and vision
Dependent medical, dental and vision (50% employer-paid)
Medical and Dependent Care FSA and commuter plans
100% employer-paid life insurance, long-term disability insurance
Voluntary accident, term life and hospital indemnity insurance
Annual incentive compensation (10% per year)
403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employment
Three weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service
12 paid holidays plus one paid floating holiday per year
4 paid self‑care days per year
Wellness stipend ($100.00 per month)
Employee Assistance Program (EAP)
Seniority level:
Entry level
Employment type:
Full‑time
Job function:
Other
Industries:
Mental Health Care
We are an equal opportunity employer. We are committed to diminishing the influence of privilege and discrimination in our field and our workplace, whether due to differences concerning age, citizenship, color, disability, marital or parental status, race, religion, gender, or sexual orientation.
Join us and make a difference in the lives of vulnerable children and families in the Bay Area.
#J-18808-Ljbffr