Dmc (Drug Medi-cal) Billing Clerk

3 weeks ago


North Hollywood, United States CRI-Help Full time

**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.
- 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

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)



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