Program Billing Lead

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.

RESPONSIBILITIES:

• Review and understand detailed nuances of each CalAIM Program health plan funder contract regarding billing and claims process.
• Ensure timely and accurate submission of all CalAIM Program claims.
• Provide estimates of monthly revenue by program to Accounting Team prior to claims submission after approval by Program Managers.
• Tracks all denied claims in partnership with Accounting Team and works with Program Managers to resubmit/resolve denial reasons.
• Works with Technology Services to ensure build out of claims functionality for new programs in EHR is in line with contractual requirements and maximizes billing opportunities.

• Works collaboratively with CalAIM Leadership Team, Accounting Team, and Technology Services Teams to improve program and process efficiencies.

• Attends and actively participates in team and program meetings, activities and problem-solving endeavors; contributes to open lines of communication within the team.
• Understands and applies the regulatory and procedural requirements of the Institute on Aging.
• Attends continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to CalAIM client population.
• All other reasonably related responsibilities as assigned.

EDUCATION: Bachelor's degree in health care related field preferred.

BACKGROUND & EXPERIENCE:

• Knowledge of & experience with CalAIM billing and claims process preferred.
• Experience with Medi-Cal billing and coding required.
• Strong attention to detail required.
• Strong relationship and communication skills required.
• Advanced Microsoft Excel fluency required.

Compensation

• Range: $71,797.00-83,826.46/annual

This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors.

This range does not include any additional equity, benefits, or othernon-monetarycompensation which may be included.

We encourage you to learn more about IOA by visiting us here.

IOA reserves the right to adjust work hours or duties when appropriate.

Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.