Billing Specialist: Remote

EMPLOYMENT OPPORTUNITY
BILLING SPECIALIST

Title: Billing Specialist
Starting Wage: $74k - $88k
Reports to: CalAIM Director
Location: Remote in California
FLSA Status: Exempt
Position Status: Regular, Full Time (up to 40 hrs. per week)
Effective Date: December 2024

ABOUT VISI? Y COMPROMISO

Established in 2000, Visi? y Compromiso is a nationally respected organization committed to community well-being by
supporting promotoras and community health workers. The organization provides comprehensive culturally- and linguistically
? relevant training, workforce development, leadership opportunities, advocacy, and support to thousands of promotoras and
community health workers. Highly trained community experts and trusted members of their communities, promotoras are
characterized by servicio de coraz? (service from the heart). Our vision: Hacia una vida digna y sana (towards a healthy
and dignified life) reflects our goal of building promotoras? capacity to educate, empower and advocate for community change
to improve their communities so that all families may know a better way of life.

POSITION SUMMARY

Under the direct supervision of the CalAIM Director, the Billing Specialist will oversee daily administrative operations and play
a key role in billing for programs and services. This includes handling CalAIM-specific billing services as well as managing
authorizations and other billing-related tasks.

HOW TO APPLY

Applications will be open December 4, 2024, until the position has been filled. Please submit resumes and questions to Carol
Malo at ([email protected]).

ESSENTIAL DUTIES & RESPONSIBILITIES
? Prepare, review, and submit invoices and claims to the required entities, ensuring timely and accurate submission

per payer guidelines.
? Manage all stages of the revenue cycle, including claim creation, denial management, and payment posting, to

ensure maximum reimbursement.
? Maintain strict confidentiality and adhere to all required guidelines, regulations, and licensing requirements.
? Work closely with other departments and the Finance Team to analyze information, resolve billing issues, and ensure

accurate reporting.
? Monitor claim progression daily, manage reports, and submit monthly updates on billing activities to the
? Director.
? Organize and maintain a filing system for program documents related to billing, ensuring easy access and

compliance with organizational standards.
? Attend training sessions, team meetings, and carry out additional responsibilities as assigned by leadership.

Other duties may be assigned. The duties listed here are typical examples of the work performed; not all duties
assigned are included, nor is it expected that all similar positions will be assigned every duty.

CORE COMPETENCIES
? Ability to collaborate closely and across all VyC departments with a wide range of staff, community members, partner

agencies, and funders.
? Understanding of the Promotora Model or other community leadership models and its role in creating health equity,

nationally and internationally.
? Demonstrated verbal and written communication, presentation, and interpersonal skills.
? Attention to detail, organizational abilities, and establishment of priorities.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

MINIMUM QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements
listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions.

EDUCATION

A High school diploma or equivalent is required.

EXPERIENCE
? A minimum of (3) years of relevant work experience.
? Experience with Medi-Cal billing

CERTIFICATES, LICENSES AND REGISTRATIONS
? Valid Driver?s License or the ability to utilize a reliable alternative method of transportation when needed to carry out

job-related essential functions. Valid automobile liability insurance required if driving.
? Nationally Registered Certified Coding Specialist (NRCCS)

LANGUAGE SKILLS

Ability to read, analyze and interpret general reports, procedures, or regulations. Ability to complete reports and write
business correspondence. Ability to read, write and speak both Spanish and English is preferred.

COMPUTER SKILLS

Basic computer skills for the purpose of data entry, sending and receiving email, virtual platforms, and calendar scheduling.
Proficient in Microsoft Office Suite, Adobe Acrobat Pro, and comfortable learning new software quickly. Experience with
accounting software such as Netsuite is a plus.

TRAVEL REQUIREMENTS

Minimal travel required.

PREFERRED SKILLS AND QUALIFICATIONS
? Ability to participate in a team setting and provide support by managing multiple and often simultaneous tasks and

contribute to a work environment that is recognized for a high level of ethical integrity, quality work, timeliness, cost-
effectiveness, accuracy, and results.
? Ability to establish and maintain effective and collaborative working relationships with co-workers.
? Experience and proven track record in effective billing management.
? Excellent interpersonal communication.
? Able to effectively work with overlapping projects and deadlines.
? Adaptable and reliable in the face of conflict, crisis, or changing priorities.
? Flexibility to work both independently and as a team.
? Bi-lingual English/Spanish preferred.
? High level of attention to detail.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform
the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.

The employee will sit, talk, hear and use hands and fingers up to 90% of the time. The employee will stand and walk up to
10% of the time. The employee is routinely required to carry and/or lift up to 10 pounds.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing
the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.

The noise level in these various work environments is typically quiet to moderate.

Apply Job!