CalAIM Nonprofit Administrative Coordinator

2 weeks ago


Santa Cruz, California, United States Housing Matters Full time
Position Overview

CalAIM Nonprofit Administrative Support

Housing Matters is dedicated to partnering with individuals and families to forge pathways out of homelessness into stable housing. As a leader in the effort to eliminate homelessness, we are seeking individuals who are passionate about making a positive impact and are committed to our vision that homelessness in Santa Cruz County should be rare, brief, and non-recurring.

The CalAIM Nonprofit Administrative Support role is crucial in managing CalAIM processes, which include eligibility assessments, service authorizations, service documentation, and invoicing. Under the guidance of the Contract Analyst, this position supports Housing Matters program staff in enhancing and sustaining CalAIM utilization.

Work Hours and Benefits

This position is a full-time, non-exempt role, offering eligibility for medical, dental, vision, 403b, and a generous paid time off plan.

Compensation

Starting wages range from $31.35 to $40.01, depending on experience.

Preferred Qualifications
  • Bachelor's degree or equivalent in a relevant field; or a combination of education and experience suitable for fulfilling the responsibilities of this role.
  • A minimum of 2 years of experience in data processing within a medical or social services environment.
  • Ability to comprehend complex and evolving policies and effectively instruct staff.
  • Capability to navigate a multifaceted workflow that involves various databases, portals, and spreadsheets.
  • Proficient in identifying issues, conducting research, gathering and interpreting data, and making logical recommendations.
  • Skill in recognizing issues that require supervisor or partner staff input.
  • Strong verbal and written communication abilities.
  • Excellent interpersonal skills and phone etiquette.
  • Outstanding organizational skills and meticulous attention to detail.
  • Proficient in Microsoft Office Suite, Google Suite, spreadsheets, databases, and related software.
Key Responsibilities
  • Determine health plan eligibility.
  • Process authorization requests for CalAIM services.
  • Monitor CalAIM authorizations and guide staff on necessary re-submissions.
  • Analyze HMIS reports for enrollment and documentation tasks.
  • Prepare and submit billing documentation.
  • Access provider portals, HMIS databases, FTP servers, clearinghouses, and other data sources.
  • Submit CalAIM claims.
  • Review, reconcile, and amend CalAIM claims, including denied claims and HMIS data.
  • Collaborate with Housing Matters program staff.
  • Provide insights on denied claims, processes, and other concerns to Housing Matters staff and the health plan.
  • Evaluate the feasibility of CalAIM requirements, analyze options, and participate in coordination meetings with the health plan and other partners.

Equal Opportunity Employer

Housing Matters is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, ancestry, physical or mental disability, medical condition, marital status, sexual orientation, age, veteran status, gender, pregnancy, or any other non-merit factor unrelated to job duties.



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