School Health Medical Billing Analyst at Alameda County Office Of Education

Application Deadline

9/17/2023 11:59 PM Pacific

Date Posted
8/16/2023
Contact
Aaliyah Mohammed
5106704289
Number of Openings
1
Add'l Salary Info
MONTHLY SALARY RANGE: $6,311.24 – $7,670.98 (5 Steps/Range 19, CSEA)
Length of Work Year
261
Employment Type
Full Time
FTE
1.0
Immediate Supervisor
Dr. Chaunise Powell
Benefits
Health Stipend up to $1,071.47 a month, Education Stipend up to $300 a month, 22 Vacation days, 13 Holidays and 13 sick days.

About the Employer

The Alameda County Office of Education (ACOE) leads with a student-centered vision, innovating in the classroom and building safe and supportive community schools. We collaborate and partner with local, county, and state agencies to address challenges students face. We are looking for individuals who can enact our vision: equipping the most vulnerable students and those who serve them with the tools to thrive. Join our team as we reimagine services to more holistically support students and erase the predetermination of failure for children, especially Alameda County’s most marginalized youth.

Job Summary

Job Summary

<font color="RED"><i>To be considered for this position: A resume and cover letter is REQUIRED – if missing, application will be screened out. EDJOIN applications with incomplete, missing information, or see resume on application will not be considered.</font></i>

Requirements / Qualifications

THE POSITION: Under the direction of the assigned supervisor, the School Medical Health Billing Analyst works in partnership with Local Educational Agencies (LEA) to ensure that all LEAs are able to effectively participate in Medi-Cal and Commercial Billing Programs; meet all federal, state and local compliance criteria; supports in ensuring generation of maximum revenue for the purposes of further supporting student health and wellbeing. This job reports to the Assigned Administrator. LOCATION: 313 W. Winton Ave. Hayward, CA 94544 TYPICAL DUTIES: Coordinate aspects of various billing programs including, LEA Billing Option Program, School Medi-Cal Administrative Activities Program (SMAA) and Managed Care Plan (MCP) Billing; including but not limited to, ensuring Time Survey Participant list is updated and staff pool is certified, monitoring Random Moments Time Survey (RMTS), and monitoring contracts. Monitor and ensure compliance with current licensing and credentialing requirements; and ensure providers are properly registered for the purposes of billing Medi-Cal and Commercial Plans. Generate monthly reports to review claims submitted, and follow up with LEAs to address incomplete claims and discrepancies as appropriate. Collaborates with LEAs, Managed Care Plans, the Department of Health Care Services (DHCS) and other agencies for the purposes of coordinating the compiling and filing of a wide variety of reports. Conduct internal audits of ACOE billing programs and external LEA audits to ensure compliance with applicable laws and maximum revenue generation. SEE FULL JOB DESCRIPTION FOR MORE INFORMATION

MINIMUM QUALIFICATIONS: Experience: Three (3) years of experience participating in Medi-Cal and Commercial billing. Experience with billing in a school setting or with children in the youth population strongly preferred. Education: 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: Sunday/September 17th, 2023 at 11:59 p.m. APPLICATION REQUIREMENTS: The EdJoin Online Application and materials must be received by the final application filling date. Incomplete or late EdJoin Online Applications will not be accepted. EDJOIN applications with incomplete, missing information, or see resume on application will not be considered. Resume required – if missing will be screened out. THE FOLLOWING APPLICATION MATERIALS ARE REQUIRED: Completed EdJoin Online Application, Resume and Cover Letter 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(TBD) 3. Technical Oral Interview*…………………..........…............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 (Required)
  • Resume (Required)

Requirements / Qualifications

THE POSITION: Under the direction of the assigned supervisor, the School Medical Health Billing Analyst works in partnership with Local Educational Agencies (LEA) to ensure that all LEAs are able to effectively participate in Medi-Cal and Commercial Billing Programs; meet all federal, state and local compliance criteria; supports in ensuring generation of maximum revenue for the purposes of further supporting student health and wellbeing. This job reports to the Assigned Administrator. LOCATION: 313 W. Winton Ave. Hayward, CA 94544 TYPICAL DUTIES: Coordinate aspects of various billing programs including, LEA Billing Option Program, School Medi-Cal Administrative Activities Program (SMAA) and Managed Care Plan (MCP) Billing; including but not limited to, ensuring Time Survey Participant list is updated and staff pool is certified, monitoring Random Moments Time Survey (RMTS), and monitoring contracts. Monitor and ensure compliance with current licensing and credentialing requirements; and ensure providers are properly registered for the purposes of billing Medi-Cal and Commercial Plans. Generate monthly reports to review claims submitted, and follow up with LEAs to address incomplete claims and discrepancies as appropriate. Collaborates with LEAs, Managed Care Plans, the Department of Health Care Services (DHCS) and other agencies for the purposes of coordinating the compiling and filing of a wide variety of reports. Conduct internal audits of ACOE billing programs and external LEA audits to ensure compliance with applicable laws and maximum revenue generation. SEE FULL JOB DESCRIPTION FOR MORE INFORMATION

MINIMUM QUALIFICATIONS: Experience: Three (3) years of experience participating in Medi-Cal and Commercial billing. Experience with billing in a school setting or with children in the youth population strongly preferred. Education: 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: Sunday/September 17th, 2023 at 11:59 p.m. APPLICATION REQUIREMENTS: The EdJoin Online Application and materials must be received by the final application filling date. Incomplete or late EdJoin Online Applications will not be accepted. EDJOIN applications with incomplete, missing information, or see resume on application will not be considered. Resume required – if missing will be screened out. THE FOLLOWING APPLICATION MATERIALS ARE REQUIRED: Completed EdJoin Online Application, Resume and Cover Letter 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(TBD) 3. Technical Oral Interview*…………………..........…............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 (Required)
  • Resume (Required)