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Billing Specialist Enhanced Care Management

Health Support Services | Greater Los Angeles Area, CA | Full Time

Job Description

About Us:

VOALA

Helping Our Most Vulnerable Change Their Life Stories

Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities.  VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans’ services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation. Learn more at www.voala.org.

ENHANCED CARE MANAGEMENT

Enhanced Care Management (ECM) will be a whole-person, interdisciplinary approach to comprehensive care management that addresses the clinical and non-clinical needs of high-cost, high-need managed care members through systematic coordination of services that is community-based, interdisciplinary, high-touch, and person-centered.

JOB SUMMARY AND PURPOSE

While maintaining patient confidentiality and information security, the ECM Billing Specialist reviews and tracks patient service records, and codes and bills for payment after review by management.  This position will work closely with the ECM Program Manager in order to ensure billing accuracy.

DUTIES AND RESPONSIBILITIES

  • ECM Billing Specialists will ensure all the appropriate and complete documentation is gathered from the program offices and from the ServicePoint database for billing purposes and will also interact with accounting to ensure amounts billed are accurate
  • Verify timely completion and data entry of treatment notes to ensure accurate billing claims
  • Verify essential treatment note information (i.e. units of services, time start and end time)
  • Daily, weekly, and monthly review, coding and data entry of billable services
  • Develops, records, and distributes monthly reports, and/or general information as needed
  • Generates treatment services in billing software and submit to Program Manager or designee
  • Monitor and review denied claims and resubmit corrected treatment services
  • Maintain and store all billing supportive documentation as required by State guidelines
  • Assists in maintaining confidential files in both physical and electronic forms
  • Assists management in reconciling data
  • Provides general office support including but not limited to answering phones, scheduling ASAM assessments, faxing, scanning and taking staff meeting minutes
  • Other duties as required to meet program goals, subject to change as needed 
  • Qualifications

    REQUIREMENTS:

    • Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications
  • EDUCATION:

    • High School or GED  
  • EXPERIENCE:

    • One year experience with Medi-Cal billing and/or Medi-Cal data entry experience, including medical/Medi-Cal coding experience.
  • KNOWLEDGE:

    • Good knowledge of billing and coding language 
  • TECHNOLOGY SKILLS:

    • Strong Computer literacy, familiar with Database entry; Microsoft operating systems including: Office, Outlook, Excel, PowerPoint.
  • SKILLS AND ABILITIES:

    • Strong math skills.
    • Strong medical/Medi-Cal Coding skills.
    • Strong attention to detail.
    • Ability to communicate clearly and professionally.
    • Ability to accurately and effectively compose correspondence and reports.
    • Ability to perform under circumstances of possible emotional stress and conflict, including dealing with un-cooperative clients.
    • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA, and other federal, state, and local standards, with or without reasonable accommodation, including meeting qualitative and quantitative productivity standards.
    • Ability to maintain regular, punctual attendance consistent with ADA, FMLA, and other federal, state, and local standards.
  • INTERPERSONAL CHARACTERISTICS:

    • Detail oriented, accurate, analytical, organized and meets established deadlines
    • Good typing skills including 10-key 
  • PREFERRED QUALIFICATIONS:

    • Associate Degree.
    • Medical Coding Certificate
    • Familiar with SAGE billing/database
  • VOALA BENEFITS SUMMARY:

    • Choice of 3 medical insurance plans
    • Choice of 2 dental insurance plans (one plan for employee only; has no premium)
    • Vision insurance plan
    • Voluntary Supplemental Coverage
    • Accidental Injury Coverage
    • Hospital Care Coverage
    • Critical Illness Coverage
    • Pet Insurance
    • Paid vacation time
    • Paid sick time
    • 10 company paid holidays
    • Company funded 401a retirement pension plan
    • Optional employee contribution to 403b retirement savings plan
    • Life and AD&D insurance
    • Programs to maintain your health and well-being
    • Employee Assistance Plan (EAP) – (No cost to employee and 100% confidential)
    • Company funded Short-term Disability Insurance (STDI) Insurance
    • Company funded Long-term Disability Insurance (LTD)
  • Volunteers of America is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law

    This employer participates in E-Verify as required by the federal government and will provide the federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.

    If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.