Description | Required Qualifications Minimum 3 years of DMH billing experience. Proficient in interpreting Medi-Cal Other Health Coverage and Medicare eligibility codes (e.g. A P F C). Familiarity with CalAIM initiatives and related updates impacting billing and claims. Experience with DMH claiming timelines including submission deadlines and re-submission protocols. Solid understanding of the Medicare appeals process. Experience with Avatar SIFT data and staying current with CalAIM updates. Strong written and verbal communication skills. Proficiency in Microsoft Word Excel (pivot tables) and SQL. Familiarity with Power BI or Tableau for data visualization. Knowledge of Claim Adjustment Reason Codes (CARC) Excellent time management organization and attention to detail self-motivated and proactive. Preferred Qualifications Bilingual (Spanish) preferred but not required. Experience with Welligent or other EHR systems. Background in healthcare collections. Typing speed of at least 35 wpm. DMH medical record documentation requirements. Ability to perform cross-coverage and take on additional duties as needed. Systems: Welligent Covivitas Availity Inovalon DMH Avatar (Sift) Power BI |