RootedLife
Recuperative Care

Consider yourself a Medical Billing Whiz Kid? Are you adept at transforming complex billing processes into smooth, efficient operations? Rooted Life is on the lookout for a Billing Authorization Specialist like you! Join us and become an integral part of a team that navigates the intricate world of healthcare billing and authorization with precision and care. In this role, you'll be the linchpin in our financial workflow, turning billing challenges into triumphs with your expertise and dedication.

Who We’re Looking For:

Are you ready to be more than just a cog in the machine? We're seeking dynamic individuals who are not just task performers but true leaders in their roles. We want someone who brings more to the table than just skills — a visionary who's ready to innovate and inspire.

📊 Detail-Oriented Administrator: Excelling in providing top-notch administrative support for seamless office operations.

🔍 Authorization Expert: Skilled in handling authorization processes, from client authorization to tracking and managing denied cases.

📋 Documentation Dynamo: Collaborating with care managers and staff to secure all essential documentation for billing and authorization.

🧾 Invoicing Pro: Proficient in submitting accurate invoices for Enhanced Care Manager (ECM) or Community Supports services, adhering to CalAIM standards and Managed Care Plan (MCP) requirements.

🤝 Collaborative Communicator: Working across departments to gather and analyze client information, ensuring effective billing records.

💰 Reimbursement Maximiser: Focused on ensuring maximum reimbursement through meticulous billing and coding for all services rendered.

📝 Claims Specialist: Managing the full claims process, from creation to follow-up, and handling insurance inquiries with expertise.

🛡️ HIPAA Guardian: Upholding the strictest confidentiality and adhering to all HIPAA regulations.

What You’ll Be Doing

• Provides administrative support to ensure efficient operation of the office.

• Handles all authorization processes including authorizing clients and tracking authorizations until acceptance, working with MCPs for any denied clients.

• Works with LCMs and CS Staff to obtain all documentation required for billing and authorization purposes.

• Submit claims for the provision of ECM-related services to MCPs using the national standard specifications and code sets to be defined by DHCS.

• Submitting and managing invoices in line with CalAIM ECM and CS Provider Standards

• Ensures that maximum reimbursement is obtained through billing and coding, or all services rendered.

• Responsible for correcting, completing, and processing claims of all-payer codes.

• Daily monitoring of assigned queues for claim progression directly impacting timely payments

• Manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, and insurance inquiries/correspondence.

• Prepares and submits clean claims to third-party payers either electronically or by paper per the payor guidelines.

• Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Submit monthly reports of activities and developments to company leadership

• Contributes to every stage of the revenue cycle, from claim submission to denial management to payment posting review and reporting.

Qualifications

✍️ Superb Skills: Excellent in administrative writing, data analysis, and process management.

💻 Tech-Savvy: Proficient with MS Office, Google Docs, and Google Drive, with a knack for quickly mastering new software.

🧠 Analytical Mindset: Outstanding at evaluating performance metrics and solving complex problems.

🗣️ Communication Maestro: Exceptional in both written and verbal communication.

🎓 Educational Background: University degree and; 5 or more years of US medical billing experience or an equivalent combination of education and experience.

🍌 Detail Oriented: Did you read and understand this whole job description? If so, please reply with banana at the start of your cover letter.

🔍 First-Rate Reasoning Ability: Capable of applying common sense to carry out instructions and solve problems with multiple variables.

Are you driven by a passion to make a tangible difference in the lives of individuals seeking support and stability? Rooted Life is on the lookout for a compassionate and detail-oriented Assessment Specialist. In this pivotal role, you will conduct thorough assessments over the phone to determine if clients are a good fit for our services, directly impacting lives and fostering hope. Join us in making a meaningful difference.

Who We’re Looking For:

Are you ready to be more than just a cog in the machine? At Rooted Life, we're seeking dynamic individuals who are not just task performers but true leaders in their roles. We want someone who brings more to the table than just skills — a visionary who's ready to innovate and inspire.

🌟 Empathetic and Compassionate: With a heart for aiding vulnerable populations.

📋 Detail-Oriented: Meticulous in managing documentation and assessments.

💡 Effective Communicator: Providing clear and supportive guidance to applicants.

🤝 Team Collaborator: Working closely with other team members to ensure seamless support.

🛡️ HIPAA Guardian: Upholding the strictest confidentiality and adhering to all HIPAA regulations.

What You’ll Be Doing

You will work closely with referrals to assess their needs and ensure a smooth transition into our various programs. This position plays a critical role in helping individuals access the support they need and conducting comprehensive assessments to determine eligibility and fit for our services.

📞 Customer Service Excellence: Providing the highest level of service to both internal and external customers in a fast-paced, team-oriented environment.

📞 Active Assessment Calls: Making the assigned number of assessment calls and collaborating with the operations manager to reach team goals.

📝 Thorough Assessments: Conducting detailed assessments over the phone to evaluate if the client is a good fit for our services and to identify their specific needs.

🔍 Service Determination: Determining the appropriate services required based on assessment outcomes and client needs.

🤝 Client Connection: Ensuring clients are connected to the appropriate staff and services necessary to meet their needs.

🌐 Seamless Referral Collaboration: Collaborating with other staff and community service providers to ensure seamless referral services.

⚙️ Efficient Prioritization: Prioritizing and working efficiently throughout the workday with strong attention to detail.

As an Assessment Specialist, your role is crucial in making sure the potential clients are appropriately placed at Rooted Life and receiving the right level of care. We invite you to join us in this vital role and help us create lasting positive change in our community.

Qualifications

• Experience: Minimum of 2 years as an Intake Coordinator or similar role. (Registered Nurses with behavioral health experience are highly preferred.)

• Language Proficiency: Strong command of American English with clear, easily understandable communication skills. This is a communication heavy position with American clients

• Attention to Detail: Strong attention to detail

• Problem-Solving: Excellent problem-solving and communication skills.

• Team Orientation: Team-oriented with a mature, ethical, and resilient character.

• Detail Oriented: Did you read and understand this whole job description? If so, please reply with banana in the title of your email

• 🗣️ Communication Maestro: Exceptional in both written and verbal communication.

• 🔍 First-Rate Reasoning Ability: Capable of applying common sense to carry out instructions and solve problems with multiple variables.