JOB TITLE | Medical Biller (Temporary)

REPORTS TO | Program Manager

PROGRAM | CalAIM - Enhanced Care Management & Housing Navigation

EMPLOYMENT STATUS | FULL-TIME, Non-Exempt

LOCATION | Hanford, CA

SALARY RANGE | $20.00 - $25.00

JOB SUMMARY

Under the direct supervision of the Program Manager, the Medical Biller will provide support to our CalAIM Enhanced Care Management and Community Supports Program. They will be responsible for preparing, submitting, and following up on medical claims to ensure accurate and timely billing. This role requires strong attention to detail, knowledge of medical billing procedures, and the ability to work with insurance companies or other departments to resolve discrepancies.

Summary of essential job functions/responsibilities

  • Submit medical claims to insurance providers, including error checking, resubmitting denials, and troubleshooting billing issues. 

  • Maintains, updates, adds entries, and runs staff and program productivity reports entries to CalAIM electronic health records databases.

  • Works directly with Program Manager to process, troubleshoot, and track medical claims to managed care plans.

  • Identify common billing errors and provide training to direct service staff to reduce errors and improve data quality.

  • Participates in staff meetings and responsible for documenting and distributing the minutes of completed meetings to team members.

  • Remains culturally sensitive and respectful in all client and staff interactions,

  • Adheres to all client confidentiality requirements and standards, including updates of the shared Release of Information (ROI) to ensure that information is current and accurate,

  • Performs other duties as assigned.

EDUCATION AND WORK EXPERIENCE REQUIREMENTS

  • High school diploma or GED and/or equivalent qualification required.  

  • Typically requires a minimum of 2 years of intermediate to advanced administrative experience in a fast-paced, dynamic operations environment.

  • CalAIM medical billing experience is highly desirable.

  • Bilingual (English and Spanish) preferred.

  • Comfortable working with homeless individuals.

  • Strong attention to detail and accuracy.

  • Ability to work independently and manage multiple tasks.

  • Must have valid California Class C Driver’s License; maintain a good safety record (verified by DMV at hire and periodically) and a reliable vehicle; proof of comprehensive auto insurance if driving personal vehicle. Must be able to drive (when needed) for business purposes to other program locations in Kings and Tulare County.

  • Must be drug tested prior to hire, with drug test results negative for illegal drug use, including marijuana.

  • Must pass background check.

  • Must have TB clearance within 60 days prior to hire (MANDATORY).

  • Ability to understand and interpret information, follow instructions, and manage workflow.

  • Ability to get along with diverse personalities, understanding, mature, and flexible, possess strong judgment, problem-solving and reasoning abilities.

  • Basic knowledge and skills with computer keyboarding and computer programs.

  • Proficient in Microsoft Word, Excel, PowerPoint, Google-based applications and calendaring.

  • Proficient with creating posts on various social media platforms, including Facebook and Instagram.

  • Strong Interpersonal skills: ability to work effectively with people in a constructive manner within a community-based treatment setting and establish and maintain cooperative and effective working relationships with others.

  • Must have flexibility to work nights and weekend hours during scheduled client activities.

  • Applicant must submit appropriate background check clearance.

  • Must be free of probation or parole supervision for a minimum of one year.

ORGANIZATION RELATIONSHIPS/INTERACTIONS

  • Interfaces with all levels of management, staff, clients, residents, and families including community partners.  Services involve travel to different communities and schools through the San Joaquin Valley for assessments, service provision, and crisis management.

PHYSICAL SKILLS AND ABILITIES

  • Ability to perform the essential job functions consistent safely and successfully with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.

  • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.

  • Prolonged periods of sitting at a desk and working on a computer.

  • Must be able to lift and carry up to 20 lbs.

  • Must be able to talk, listen and speak clearly on telephone and telehealth platforms.

WORKING CONDITIONS

  • Services may involve travel to offsite locations for assessments, service provision, and crisis management.

  • Must drive their own vehicle between office, schools, and target communities.  Champions will provide mileage reimbursement at the approved federal mileage rates.

ANTICIPATED HOURS

  • Work hours can vary and may require some on-call scheduling including weekends, evenings, and holidays per program requirements.