CalAIM Billing Specialist II
Company: Volunteers of America Los Angeles
Location: Los Angeles
Posted on: April 1, 2026
|
|
|
Job Description:
About Us: VOALA Helping Our Most Vulnerable Change Their Life
Stories Volunteers of America is a non-profit human services
organization committed to serving people in need, strengthening
families, and building communities. VOALA provides a variety of
social services to Los Angeles area communities such as Head Start
programs, Upward Bound college prep programs, veterans? services,
homeless shelters, low-income housing program as well as drug and
alcohol rehabilitation. Learn more at www.voala.org . PAY RATE:
$25.65 - $27 Per Hour BENEFITS: VOALA offers competitive medical,
dental, vision and retirement benefits. JOB SUMMARY AND PURPOSE
Under direct supervision of CQI leadership and guidance of the CQI
Billing and Records team, the CalAIM Billing Specialist II will be
responsible for reviewing, submitting, and tracking claims for
VOALA?s Health Supportive Services division, consisting of
Community Supports (CS) Housing (Housing Tenancy, Housing Deposit,
Housing Navigation, and/or Recuperative Care) and Enhanced Care
Management (ECM) programs, with the potential of additional CalAIM
program inclusion. The role will monitor assigned CS and ECM
program claims for errors and flag appropriate parties for billing
corrections. The CalAIM Billing Specialist II will track payments
and ensure they are posted in the billing portal and accounting
systems. This position will work closely with the CQI team, CalAIM
Program Leadership, and accounting in order to ensure billing
accuracy and timeliness. While they work within the CQI Department,
this role is expected to work collaboratively with the CalAIM
programs on an ongoing basis by providing support, mentorship and
training. This role is responsible for maintaining member
confidentiality and information security at all times. DUTIES AND
RESPONSIBILITIES The CalAIM Billing Specialist will ensure clean CS
Housing and ECM claims are submitted through the billing portal and
clearinghouse. Monitor billing errors that could involve issues
around data entry for services in queue (i.e. units of services,
time start and end time, etc.) and notify responsible parties to
make timely corrections. Monitor and review denied claims and
resubmit with corrected billing errors. Track all payments and
ensure they are posted in the billing portal and all accounting
systems. Support, coach, and train CalAIM program staff and team
members in billing processes. Maintain and store all billing
supportive documentation in designated Information System, as
required by State guidelines. Assist in maintaining confidential
records of members served. Maintain active accounts in all
billing-related and Insurer portals. Conduct program site visits,
as assigned by need. Develop, record, and distribute monthly
reports, and/or general information, as needed. Support, as needed,
with generating CalAIM services in billing portal and submit to
designated Program Leadership. Assist leadership in reconciling
data, as needed. Interact with accounting to ensure accuracy in
billing and payments received. Remain current in updates made by
Insurers, the state, and other regulatory bodies to ensure ongoing
compliances and upholding best billing practices. Other duties as
may be assigned by CQI Leadership. ESSENTIAL DUTIES Services for
this position must be provided on-site. As a result, the position
requires incumbents to report to work on-site each day of active
employment. Submit clean claims in billing portals Monitor and
support in correcting billing errors Resubmit denied claims with
necessary corrections Track and document claims payments Train and
coach CalAIM team members Other duties as required and is subject
to change at any time. MANDATED REPORTER As service providers to
the underprivileged and vulnerable in our community, all employees
are considered Mandated Reporters, and must report any instance of
physical or sexual abuse to proper authorities. Qualifications
REQUIREMENTS: Must be able to pass a fingerprint clearance,
background check, including criminal history, personal references,
employment and education verifications Ability to perform under
circumstances of possible emotional stress and conflicts dealing
with difficult, uncooperative, and potentially aggressive clients
as VOALA serves the neediest of the needy in our programs which may
include clients with homelessness, mental-illness, substance abuse,
recently released from incarceration and other challenges.
EDUCATION: Associate Degree or equivalent combination of education
and work experience (2 years of relevant experience / coursework)
EXPERIENCE: 1 year of experience with billing. 2 years of
experience in Electronic Health Record database operations and/or
billing submissions. 1 year of experience in data-driven and/or
quality assurance environment. PREFERRED QUALIFICATIONS: Bachelor
Degree Medi-Cal billing certificate Medi-Cal billing experience
Experience with CalAIM Volunteers of America is an Equal
Opportunity employer. All qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, national origin, disability, protected Veteran
Status, or any other characteristic protected by applicable
federal, state, or local law. This employer participates in
E-Verify as required by the federal government and will provide the
federal government with your Form I-9 information to confirm that
you are authorized to work in the U.S. If E-Verify cannot confirm
that you are authorized to work, this employer is required to give
you written instructions and an opportunity to contact Department
of Homeland Security (DHS) or Social Security Administration (SSA)
so you can begin to resolve the issue before the employer can take
any action against you, including terminating your employment.
Keywords: Volunteers of America Los Angeles, Murrieta , CalAIM Billing Specialist II, Accounting, Auditing , Los Angeles, California