Billing/Accounting Associate - California, United States - Community Action Partnership of Sonoma County

Description

Billing Specialist
No


SALARY LEVEL:
$30 - $35 per hour
Finance


LOCATION:
Remote with some in office work, Santa Rosa,


CA

REPORTS TO:
Director, Finance & Controller


HOURS:
FT (40 hours per week)

The objective of Community Action Partnership of Sonoma County (Community Action) is to partner with low-income families and individuals to help them to achieve economic and social empowerment, to build community, and to advocate for social and economic justice.

Community Action operates a wide variety of programs benefiting low-income Sonoma County residents.

Our Mission:

CAP Sonoma is a catalyst of equitable transformation, aligning partners and resources to implement values-based, data-driven, community-led solutions that help families reach their full potential.

Our Vision:

We see our Sonoma County transformed into an empowered community of thriving families where every child is raised with joy, justice, and connection.

Our Promise:

CAP changes people's lives, embodies the spirit of hope, improves communities and makes America a better place to live.

We care about the entire community and we are dedicated to helping people help themselves and each other.
Community Action Partnership of Sonoma County is an Equal Opportunity/Affirmative Action Employer.

Affirmative action involves determining areas of workforce under-representation, locating qualified protected class candidates by enlarging the recruiting base and developing the skills they need to succeed in those new positions.

Our obligations in this area stem from not only adherence to various state and federal regulations, but also from our commitment to create a culture of inclusiveness and diversity where members of our community thrive and are able to reach their full potential.

Medical insurance through Kaiser or Sutter 80-95% paid by the employer for employee premiums plus 50% paid by the employer for dependent coverage
Elective dental, vision insurance, FSA and Accident insurance.
Employer paid Long-term Disability Insurance
Employee assistance program, CalPerks
3 weeks vacation (4 hours accrued per pay period) based on full time work, increases at 5 years of service
96 hours sick time per year (4 hours accrued per pay period) based on full time work
16 paid holidays

As the Enhanced Care Management and Community Supports Billing Specialist, you will be responsible for managing the billing and reimbursement processes associated with our specialized care programs through CalAIM learn.

Your role involves collaborating with internal teams, verifying documentation, and ensuring compliance with relevant billing regulations.

Join us in making a positive impact on the lives of those we serve by supporting the financial aspects of our Enhanced Care Management and Community Supports initiatives.

Billing Process:

Process billing for CAP Sonoma related to CalAIM ECM (Enhanced Care Management) and CS (Community Supports) services in compliance with program requirements.

Ensure accurate and timely submission of claims to relevant payers.
Review and verify supporting documentation to substantiate claims and reimbursement; Collaborate with program team members to gather necessary information for billing and standardize reimbursement submission


Reimbursement Coordination:
Work closely with payers to secure timely and accurate reimbursement.
Address any issues or discrepancies in reimbursements.
Stay informed about relevant billing regulations, coding updates, and program-specific requirements.
Ensure adherence to all billing and documentation guidelines to maintain compliance.
Collaborate cross functionally with program management, finance, and administrative teams to resolve billing-related inquiries and discrepancies.
Provide support in training staff on billing processes and requirements.

Bachelor's Degree and/or 4-6 years of experience in medical billing; Knowledge of MediCal billing processes and regulations; experience with CalAIM and Partnership Healthplan a plus.

Familiarity with Healthcare Common Procedure Coding System Reporting
Advanced proficiency with Microsoft Excel and Word.
This job operates in a professional office and home office environment.

use the computer keyboard and mouse, use hands to finger, handle or feel; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.