Nonprofit Medi-Cal Claims Specialist (Part-Time)

United States·Oaklandmid

Legal & ComplianceClaims Specialist

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Quick Summary

Key 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).

Technical Tools

Legal & ComplianceClaims Specialist

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.

What We Offer

~2 min read

✓Hourly range: $26.00-$28.00 per hour

✓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 SmartCare 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.

✓Medical Benefits (pro-rated for part-time)

✓Medical and Dependent Care FSA and commuter plans (pro-rated for part-time)

✓Annual incentive compensation (10% per year)

✓403(b) and ROTH retirement plan options, employer contribution targeted at 7.5% after first year of employment (pro-rated for part-time)

✓Three weeks PTO during the first year of employment, 4+ weeks PTO with additional years of service (pro-rated for part-time)

✓11 paid holidays plus one paid floating holiday per year

✓4 paid self-care days per year

✓Wellness stipend

✓Employee Assistance Program (EAP)

Requirements

~1 min read

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.
Ability to work in-person at our Oakland, CA office (relocation assistance not provided)

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 SmartCare, 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

WCC is passionate about leading and encouraging open conversations around race, gender, power, and privilege and how these impact community mental health. 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.