Location: Hayward,CA, USA
Requirements / Qualifications
THE POSITION: Under the direction of the assigned supervisor, the School Health Medical Billing Specialist works in partnership with Local Education Agencies (LEA), Managed Care Plans, and other partner agencies to support development and implementation of school based Medi-Cal and Commercial billing programs including the LEA Billing Option Program, School Medi-Cal Administrative Activities (SMAA), and Managed Care Plan (MCP) Billing for the purposes of ensuring schools maximize revenues to support the provision of whole child strategies in schools and ensure health equity; provides technical assistance including training, consultation, and coaching support in the areas of onboarding, contracting, eligibility checking, provider documentation, claims submission, reimbursement and auditing. This job reports to the Assigned Administrator. LOCATION: 313 W. Winton Ave. Hayward, CA 94544 TYPICAL DUTIES: Conduct needs assessments and evaluate effectiveness of school health insurance billing infrastructure for the purposes of identifying opportunities to establish and maximize Medi-Cal and Commercial Reimbursements. Design and implement training, coaching and technical assistance programs for educational entities and community partners related to school-based Medi-Cal and Commercial billing programs including the LEA Billing Option Program, SMAA, and MCP Billing. Support LEAs with designing and implementing systems to support all aspects of school-based billing programs including; but not limited to, contracting and onboarding, credentialing, eligibility checking processes, documentation, claims submission, reimbursement and working with third party vendors.
SEE FULL JOB DESCRIPTION FOR MORE INFORMATION MINIMUM QUALIFICATIONS: Five (5) years of increasing responsible experience participating in Medi-Cal and Commercial billing. Experience with billing in a school setting or with children in the youth population strongly preferred. Bachelor's degree in healthcare administration or related field. Equivalency: Any combination of education, training and job-related experience equivalent to the above qualifications. APPLICATION DEADLINE: Friday, 11/15/2024 at 11:59 p.m. APPLICATION REQUIREMENTS: The EdJoin Online Application and materials must be received by the final application filling date. THE FOLLOWING APPLICATION MATERIALS ARE REQUIRED: Completed EdJoin Online Application. APPLICATION SCREENING & EXAMINATION PROCESS: A review of the candidates' EdJoin Online Applications to verify possession of minimum qualifications. Those candidates who complete the EdJoin Online Application and who possess the minimum qualifications for the class will move on to the next step in the examination process. Those invited to participate will be notified via email of the date, time, and place of the examinations. We reserve the right to make changes to the announced examination components. THE PROCESS IS AS FOLLOWS: 1. Application Review.......PASS/FAIL 2. Situational Exercise....PASS/FAIL(Due Wednesday, 11/20 @10am) 3. Technical Oral Interview*.......Weighted 100% (Friday, 11/22) 4. Final Interview w/MGMT*...........................Weighted 100% (TBD) * Candidates must attain a minimum score of 70% on all scored examinations and this eligibility list is valid for 6 months *
* Letter of Introduction
* Resume
About the Employer
The Alameda County Office of Education (ACOE) supports students through our mission to provide, promote, and support leadership and service for the success of every child, in every school, every day.
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For more information about this position, go to the pdf file here Health Medical Billing Specialist JD-202#######1629.pdf