Medicare and Medi-Cal Biller

Title: Medicare and Medi-Cal Biller
Department: Administration - Finance and HCH
FLSA Status: Non-Exempt
Reports To: CFO and Administrator of HCH
Summary: Responsible for the MSSP (Multipurpose Senior Services Program) billing and follow-up collections of all claims and taking actions as needed to ensure full payment for services rendered and Financial Reporting to CDA. Also, assists with the Home Care and Hospice billing and coding.
Essential Functions:
• Completes all claims billing for MSSP services, including Care Management, Care Support and Waiver Services.
• Monitors and reviews all Waiver Services provided to the clients.
• Conducts pre-billing audits to ensure the accuracy of documentation.
• Generates reports at the end of month close reflecting revenues, expenses, and accounts receivable and collections.
• Generat...