DMC (Drug Medi-Cal) Billing / Data Entry Clerk

Basic Function

• Work directly with Billing Supervisor to ensure that all claims are submitted in a timely manner, and are accurate.

Responsibilities

• Update the “Admissions” worksheet daily for all admits and discharges.
• Identify authorizations/extensions that have not been created or submitted in a timely manner.
• Work directly with Clinical Coordinator and EHR Auditor to ensure that all non-reimbursable clinical activities are entered into SAGE in a timely manner.
• Maintain a working knowledge of SAPC’s Sage electronic health record platform, including being able to quickly and competently navigate the system.
• Utilize CRI-Help’s Group Sign In sheets to input all clients’ group counseling sessions and patient education sessions into Sage, as well as review and make corrections as necessary.
• Submit all Residential/Room & Board Claims in to Sage electronic health record platform
• On a monthly basis generate the CRI-Help Provider Activity Report in Sage electronic health record platform and submit all billable claims as well as review and communicate corrections needing to be completed
• Work with DMC Data Entry Clerk to complete CRI-Help Clinical Service Tracker on a monthly basis.
• Reconcile all claims submitted via Sage electronic health record platform on a monthly basis as well as follow up on denials and re-submit corrected claims.
• Understand and apply State and County requirements per Title 22, Title 9, and the SAPC DMC Provider Manual.
• Perform other related duties as assigned.

Required Skills / Knowledge

• Excellent computer skills.
• Strong organizational, follow-up and time management skills.
• Proficiency in Microsoft Excel.
• Ability to work well within a team structure.
• Knowledge of DMC procedure codes.
• Basic math skills.
• Present ideas, information, and viewpoints clearly, both verbally and in writing.

Required Education / Training

• High school diploma, or equivalent.
• Medical Billing Certification is Required.

Experience

• Must have a minimum of 1 year of experience working with the SAPC DMC-ODS billing system.

Special Conditions

• Must be willing to undergo random drug screenings.

Position Reports To

• DMC Billing Supervisor

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Opportunities for advancement
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Overtime may be Offered
• Weekends as needed

License/Certification:

• Medical Billing Certification (Required)