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 GED
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
Experience level:
- 2 years
Schedule:
- 8 hour shift
- Monday to Friday
- Overtime
- Weekends as needed
License/Certification:
- Medical Billing Certification (Required)
Work Location: In person