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.