Billing & Claims Specialist - Medi-cal Calaim - Dublin, United States - Omatochi Corp

Omatochi Corp
Omatochi Corp
Verified Company
Dublin, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

About Omatochi:

Omatochi is a leading home care service provider dedicated to enhancing the quality of life for our clients. We specialize in delivering compassionate and high-quality care with a focus on personalized solutions.

As we continue to grow, we are seeking a skilled Billing Specialist to join our team and contribute to the success of our Medi-Cal CalAIM program.


Job Overview:


Responsibilities:


Claims Processing:


  • Accurately prepare and submit claims for services rendered to Medi-Cal CalAIM, ensuring compliance with program guidelines and regulations.
  • Review and verify the completeness of claims documentation, resolving any discrepancies or issues promptly.

Billing and Reimbursement:


  • Collaborate with internal teams to gather necessary information for billing purposes.
  • Monitor reimbursement activities, identifying and addressing any billing errors or discrepancies.

Program Compliance:


  • Stay updated on changes to the Medi-Cal CalAIM program regulations, policies, and billing procedures.
  • Ensure strict adherence to program requirements and maintain compliance with all relevant guidelines.

Documentation and Record-Keeping:


  • Maintain accurate and organized records of billing transactions, claims submissions, and related documentation.
  • Prepare reports and summaries as required for internal and external audits.

Communication and Collaboration:


  • Communicate effectively with internal stakeholders, including care managers and administrative staff, to address billingrelated inquiries and resolve issues.
  • Collaborate with external entities, including Medi-Cal representatives and regulatory bodies, to facilitate smooth billing processes.

Qualifications:


  • Bachelor's degree in Healthcare Management, Business Administration, or a related field.
  • Minimum of 3 years of experience in billing and claims processing, with a focus on Medi-Cal programs.
  • Indepth knowledge of the Medi-Cal CalAIM program regulations, guidelines, and billing procedures.
  • Proficiency in using billing software and electronic health record (EHR) systems.
  • Strong attention to detail and accuracy in claims submission and documentation.
  • Excellent communication skills and the ability to collaborate effectively with crossfunctional teams.
  • Familiarity with relevant laws and regulations governing healthcare billing practices.

What We Offer:


  • Competitive salary commensurate with experience.
  • Comprehensive benefits package, including health insurance plans.
  • Opportunities for professional development and career advancement.
  • A supportive and inclusive work environment.
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