Description

　　OVERVIEW:

　　The Intake and Billing Specialist, will be responsible for ensuring pre-authorization for client intake and for submitting billing to Managed Care Plan Providers for services provided under the CalAim Short Term Post-Hospitalization Housing Program.

　　DUTIES AND RESPONSIBILITIES:

　　Establish and obtain pre-authorization for client eligibility prior to intake into the program using the Medi-Cal’s TAR (Treatment Authorization Form) and maintain authorizations for each patient

　　Accounts Receivable billing and collection from Managed Care Plan Providers

　　Complete the intake of clients into the program including required documentation as directed

　　Medi Cal coding for all reimbursable medical services received following program procedures

　　Input of medical billing codes for claims into medical billing software in a timely manner meeting submission timelines

　　Assist with resolving questions and/or problems with billing

　　Follow-up with billings and claims

　　Reconciliation and auditing of accounts receivable

　　Reviews and verifies accuracy, completeness, and integrity of claims

　　Maintains files for the Post-Hospitalization Program

　　Other related duties as required

　　EDUCATION AND EXPERIENCE:

　　High school diploma or equivalent (required)

　　18 years old (required)

　　Education and /or experience in medical billing, Medi Cal billing and medical billing software (preferred)

　　Medical terminology course passed with at least a “C” in the past 5 years (preferred)

　　Experience with disadvantaged populations, whether through work or volunteering is helpful

　　SKILLS AND ABILITIES:

　　Typing of 35 words per minute

　　10-key and data entry skills

　　Intermediate skills in Microsoft software to include Word, Excel, PowerPoint and Access

　　Ability to prioritize work and multi-task tasks

　　Ability to communicate effectively and accurately

　　Have good social interaction skills

　　PHYSICAL REQUIREMENTS:

　　Ability to lift up to 25 lbs. (usually file boxes)EQUIPMENT USED:

　　Modern Office Equipment and Relevant SoftwareADA Statement:

　　Qualified individuals must be able to perform the essential duties of the position with or without accommodation. A qualified person with a disability may request a modification or adjustment to the job or work environment in order to meet the physical requirements of the position. The Salvation Army will attempt to satisfy requests if the accommodation needed is reasonable and no undue hardship would result.

　　Acknowledgment of Religious Purposes of The Salvation Army:

　　Please note that The Salvation Army has a religious purpose and status as a church. We ask our employees that they do nothing to their relationship with The Salvation Army to undermine its religious mission. Employees must agree and understand that their services are a necessary part of The Army’s religious purposes and their work-related conduct must not conflict with, interfere with, or undermine such religious programs or The Army’s religious purposes.

　　At-Will:

　　Any employment relationship with this organization is of an “at-will” nature, which means that an Employee may resign at any time and the Employer may discharge an Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

　　Qualifications

　　Education

　　Required

　　High School or Equivalent or betterEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities

　　The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)