California State University (CSU) Northridge
18111 Nordhoff Street, Northridge, CA 91330, USA
About The University Corporation: The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University, Northridge. Our mission is to provide services and solutions that address the needs of California State University, Northridge; to support the academic, research, and creative endeavors of its students, faculty, and staff; and to enhance the quality of campus life. https://www.csun.edu/tuc Duties and Responsibilities: Post-Award Supervisor provides leadership and training of existing staff, new staff, and student assistants. Works closely with the Director on the creation, revision, and implementation of RSP-wide process improvement procedures, and may act as a liaison between pre- and post-award offices for planning, training, evaluation, and monitoring to meet goals and resolve problems. Provides expertise, support, and advice to other Post-Award Analysts, Administrative support staff and works collaboratively with Grants and Contracts Analysts to support research growth and development. Functions and makes decisions independently yet is highly collaborative and able to anticipate problems early and as they arise. Additionally, the Post-Award Supervisor must be able to assist department staff of any post-award administration responsibilities, including providing guidance, information and services to administrators, faculty, and staff engaged in management of extramurally funded research awards. The Post-Award Supervisor is independently responsible for representing the University to sponsors in the management and delivery of materials related to complex contracts and funding awards; coordinating with administration, academic departments, colleges, centers, and RSP pre-award staff; assisting and advising faculty, staff, and administrators in budget and expenditure management; independently interpreting and analyzing sponsor guidelines, completion of required forms, assurances and certifications, collection of necessary or pertinent data, compilation of and review of supporting documentation for consistency, and compliance with sponsor, government, and internal program guidelines and requirements; and monitor and ensure drawdowns and accounts receivables are collected and entered in a timely basis. (40%) Provide proactive and high-level customer service to Principal Investigators: Act as the initial escalation point for the Principal Investigator (PI) for all post-award issues. Instruct PIs on post-award administration issues and guide them through grant administration processes through the life cycle of their project, from setup to closeout. Independently investigate and use best judgment to resolve issues experienced by PIs, acting as a liaison between PI and TUC Payroll, Human Resources and Accounting staff. Coordinate with college and departmental staff, DFOs, and pre-award grants coordinators to ensure that departments follow compliance policies for grants management in maintaining and submitting proper documentation to substantiate direct charges to grants. Maintain current working knowledge of federal regulations and sponsor policies to assure the responsible administration of sponsored programs. Review and interpret contracts and grant awards. Facilitate internal quality assurance review and ensure timely submission of accurate expenditure requests and associated documentation in accordance with all applicable policies and procedures. (25%) Peer and support staff training and development: Onboard and train new Post-Award Analysts, RSP Administrative Assistants, and student assistants in post-award workflow and operations. Provide leadership, training, and technical support for faculty, CSUN staff, and RSP staff; provide ongoing support, mentorship, and retraining to RSP team members as needed. Provide expertise on matters relating to research and sponsored programs-based grants, contracts, and subcontracts. Prepare content for and lead various campus-wide events, workshops, and meetings. Develop and update a procedure manual and shared resource library for research administrators and PIs/PDs. (20%) Monitor and manage expenses for sponsored projects and programs: Counsel and make recommendations to PIs and project staff regarding the fiscal management of sponsored projects. Forecast possible future financial and administrative problems, develop solutions, and make recommendations to the PI. Monitor and review the expenditure, budget adjustment activities, and close outs associated with successful grants management. Approve budget adjustments and project related expenditures, with authority to approve expenditures up to $25,000 and to write off expenditures of up to $5,000 each against the Sponsored Programs Reserve in consultation with the Director. Work with external funding agencies to develop accurate invoices and follow-up on payments. Assure timely and appropriate close-out of grants/contracts through coordination with PIs, departmental administrative personnel, and Accounting. Monitor and ensure drawdowns and accounts receivables are collected and entered in a timely manner. (10%) Lead process improvement efforts and assist in maintaining compliance to avoid risks for TUC and CSUN: Continuously evaluate, streamline, and document RSP standard operating procedures; recommend and implement updated policies as needed or required by the University and CSU. Independently identify and contribute to resolving compliance issues related to award administration. Develop and implement process improvement initiatives related to workflow and documentation for the above-noted compliance areas. Provide updates, training, and process review of above subjects on a regular basis. Regularly review accounts to independently identify, judge, and address areas of potential risk. Contribute and assist to audits or agency inquiries regarding grant and contract activity, including annual audits conducted by external auditors. Provide expert assistance to the Directors of RSP. (5%) Other Responsibilities : Regularly review literature on research administration and attend special conferences, workshops and trainings to stay abreast of most recent federal, state and other sponsor requirements and management responsibilities. Represent CSUN within the sponsored research community and at professional organization meetings, including those held by federal and state funding agencies. Perform other duties as assigned. Qualifications: Bachelor's degree from an accredited college or university. Master’s degree preferred. At least four in research administration, budget management, fund administration, or contract review, with at least a year in post-award administration of grants and contracts in a university setting. One-year supervisory experience preferred. Knowledge, Specialized Skills, and Abilities: Broad working knowledge of Office of Management and Budget (OMB) Uniform Guidance (UG) and other federal agency guidelines, including Federal Acquisition Regulation. Strong understanding of generally accepted accounting principles, including knowledge of financial record-keeping methods, procedures, and practices. Ability to review financial documents for accuracy, completeness, validity, and adherence to standards. Experience with policy and procedure development. Ability to maintain a detail-oriented workload. Ability to work in a team environment and motivate team members by example. Excellent interpersonal skills and ability to effectively communicate at all levels is essential to optimize positive support to faculty while ensuring compliance. Service focused, including timely and patient response in project management and action-oriented approach to problem solving. Ability to maintain confidentiality, operate with integrity, and encourage trust. Familiarity and comfort with Cayuse SP, PeopleSoft, Adobe Sign and Adobe Acrobat Pro; thorough knowledge of Microsoft Office applications, including Word and Excel. Ability to use queries in Peoplesoft with ease. Comfort with navigating and retrieving information from the Internet. CRA and/or CFRA Certification preferred. Pay, Benefits, & Work Schedule: This position is employed through The University Corporation (TUC). Anticipated hiring range: $70,000 - $75,000 Annually Full pay range: $63,276- $114,444 Annually Time Base: Full-Time Benefits: Medical, Dental, Vision General Information: THE SELECTED CANDIDATE IS REQUIRED TO PASS A THOROUGH DEPARTMENT BACKGROUND INVESTIGATION AND LIVE SCAN. How to Apply: Please complete the online application/resume upload submission process in order to be considered for any open position within the university and its auxiliaries. The hiring department will contact the best-qualified candidates and invite them to participate in the interview process. Application Screening begins Tuesday, March 19th, and will continue until the position is filled. In order to be considered in the initial review, applications must be submitted prior to the date listed above. Application submissions received after the application screening date will be reviewed at the discretion of the University. For more detailed information on the application and hiring process, please view the link below: http://www-admn.csun.edu/ohrs/employment/ Equal Employment Opportunity The University Corporation is an Equal Opportunity Employer and prohibits discrimination on the basis of race, color, ethnicity, religion, national origin, age, gender, gender identity/expression, sexual orientation, genetic information, medical condition, marital status, veteran status, and disability. Applicants who wish to request an accommodation for a disability may contact the Office of Equity and Diversity at (818) 677-2077. Advertised: Mar 04 2024 Pacific Standard Time Applications close: Closing Date/Time:
About The University Corporation: The University Corporation is a non-profit auxiliary corporation providing commercial and administrative services to California State University, Northridge. Our mission is to provide services and solutions that address the needs of California State University, Northridge; to support the academic, research, and creative endeavors of its students, faculty, and staff; and to enhance the quality of campus life. https://www.csun.edu/tuc Duties and Responsibilities: Post-Award Supervisor provides leadership and training of existing staff, new staff, and student assistants. Works closely with the Director on the creation, revision, and implementation of RSP-wide process improvement procedures, and may act as a liaison between pre- and post-award offices for planning, training, evaluation, and monitoring to meet goals and resolve problems. Provides expertise, support, and advice to other Post-Award Analysts, Administrative support staff and works collaboratively with Grants and Contracts Analysts to support research growth and development. Functions and makes decisions independently yet is highly collaborative and able to anticipate problems early and as they arise. Additionally, the Post-Award Supervisor must be able to assist department staff of any post-award administration responsibilities, including providing guidance, information and services to administrators, faculty, and staff engaged in management of extramurally funded research awards. The Post-Award Supervisor is independently responsible for representing the University to sponsors in the management and delivery of materials related to complex contracts and funding awards; coordinating with administration, academic departments, colleges, centers, and RSP pre-award staff; assisting and advising faculty, staff, and administrators in budget and expenditure management; independently interpreting and analyzing sponsor guidelines, completion of required forms, assurances and certifications, collection of necessary or pertinent data, compilation of and review of supporting documentation for consistency, and compliance with sponsor, government, and internal program guidelines and requirements; and monitor and ensure drawdowns and accounts receivables are collected and entered in a timely basis. (40%) Provide proactive and high-level customer service to Principal Investigators: Act as the initial escalation point for the Principal Investigator (PI) for all post-award issues. Instruct PIs on post-award administration issues and guide them through grant administration processes through the life cycle of their project, from setup to closeout. Independently investigate and use best judgment to resolve issues experienced by PIs, acting as a liaison between PI and TUC Payroll, Human Resources and Accounting staff. Coordinate with college and departmental staff, DFOs, and pre-award grants coordinators to ensure that departments follow compliance policies for grants management in maintaining and submitting proper documentation to substantiate direct charges to grants. Maintain current working knowledge of federal regulations and sponsor policies to assure the responsible administration of sponsored programs. Review and interpret contracts and grant awards. Facilitate internal quality assurance review and ensure timely submission of accurate expenditure requests and associated documentation in accordance with all applicable policies and procedures. (25%) Peer and support staff training and development: Onboard and train new Post-Award Analysts, RSP Administrative Assistants, and student assistants in post-award workflow and operations. Provide leadership, training, and technical support for faculty, CSUN staff, and RSP staff; provide ongoing support, mentorship, and retraining to RSP team members as needed. Provide expertise on matters relating to research and sponsored programs-based grants, contracts, and subcontracts. Prepare content for and lead various campus-wide events, workshops, and meetings. Develop and update a procedure manual and shared resource library for research administrators and PIs/PDs. (20%) Monitor and manage expenses for sponsored projects and programs: Counsel and make recommendations to PIs and project staff regarding the fiscal management of sponsored projects. Forecast possible future financial and administrative problems, develop solutions, and make recommendations to the PI. Monitor and review the expenditure, budget adjustment activities, and close outs associated with successful grants management. Approve budget adjustments and project related expenditures, with authority to approve expenditures up to $25,000 and to write off expenditures of up to $5,000 each against the Sponsored Programs Reserve in consultation with the Director. Work with external funding agencies to develop accurate invoices and follow-up on payments. Assure timely and appropriate close-out of grants/contracts through coordination with PIs, departmental administrative personnel, and Accounting. Monitor and ensure drawdowns and accounts receivables are collected and entered in a timely manner. (10%) Lead process improvement efforts and assist in maintaining compliance to avoid risks for TUC and CSUN: Continuously evaluate, streamline, and document RSP standard operating procedures; recommend and implement updated policies as needed or required by the University and CSU. Independently identify and contribute to resolving compliance issues related to award administration. Develop and implement process improvement initiatives related to workflow and documentation for the above-noted compliance areas. Provide updates, training, and process review of above subjects on a regular basis. Regularly review accounts to independently identify, judge, and address areas of potential risk. Contribute and assist to audits or agency inquiries regarding grant and contract activity, including annual audits conducted by external auditors. Provide expert assistance to the Directors of RSP. (5%) Other Responsibilities : Regularly review literature on research administration and attend special conferences, workshops and trainings to stay abreast of most recent federal, state and other sponsor requirements and management responsibilities. Represent CSUN within the sponsored research community and at professional organization meetings, including those held by federal and state funding agencies. Perform other duties as assigned. Qualifications: Bachelor's degree from an accredited college or university. Master’s degree preferred. At least four in research administration, budget management, fund administration, or contract review, with at least a year in post-award administration of grants and contracts in a university setting. One-year supervisory experience preferred. Knowledge, Specialized Skills, and Abilities: Broad working knowledge of Office of Management and Budget (OMB) Uniform Guidance (UG) and other federal agency guidelines, including Federal Acquisition Regulation. Strong understanding of generally accepted accounting principles, including knowledge of financial record-keeping methods, procedures, and practices. Ability to review financial documents for accuracy, completeness, validity, and adherence to standards. Experience with policy and procedure development. Ability to maintain a detail-oriented workload. Ability to work in a team environment and motivate team members by example. Excellent interpersonal skills and ability to effectively communicate at all levels is essential to optimize positive support to faculty while ensuring compliance. Service focused, including timely and patient response in project management and action-oriented approach to problem solving. Ability to maintain confidentiality, operate with integrity, and encourage trust. Familiarity and comfort with Cayuse SP, PeopleSoft, Adobe Sign and Adobe Acrobat Pro; thorough knowledge of Microsoft Office applications, including Word and Excel. Ability to use queries in Peoplesoft with ease. Comfort with navigating and retrieving information from the Internet. CRA and/or CFRA Certification preferred. Pay, Benefits, & Work Schedule: This position is employed through The University Corporation (TUC). Anticipated hiring range: $70,000 - $75,000 Annually Full pay range: $63,276- $114,444 Annually Time Base: Full-Time Benefits: Medical, Dental, Vision General Information: THE SELECTED CANDIDATE IS REQUIRED TO PASS A THOROUGH DEPARTMENT BACKGROUND INVESTIGATION AND LIVE SCAN. How to Apply: Please complete the online application/resume upload submission process in order to be considered for any open position within the university and its auxiliaries. The hiring department will contact the best-qualified candidates and invite them to participate in the interview process. Application Screening begins Tuesday, March 19th, and will continue until the position is filled. In order to be considered in the initial review, applications must be submitted prior to the date listed above. Application submissions received after the application screening date will be reviewed at the discretion of the University. For more detailed information on the application and hiring process, please view the link below: http://www-admn.csun.edu/ohrs/employment/ Equal Employment Opportunity The University Corporation is an Equal Opportunity Employer and prohibits discrimination on the basis of race, color, ethnicity, religion, national origin, age, gender, gender identity/expression, sexual orientation, genetic information, medical condition, marital status, veteran status, and disability. Applicants who wish to request an accommodation for a disability may contact the Office of Equity and Diversity at (818) 677-2077. Advertised: Mar 04 2024 Pacific Standard Time Applications close: Closing Date/Time:
CALAVERAS COUNTY, CA
San Andreas, California, United States
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous