Senior Office Clerk, Typist (Billing Support) - $21.70/hr - #248890

Healthcare Staffing Professionals has an immediate need for a Senior Office Clerk, Typist. Senior Typist-Clerks (STCs) will support four functions in the ECM program: (1) Administrative Support: One STC will report to the Program Manager to provide day-to-day clerical support. (2) Care Management Support: One STC will report to each care management team to support the LCMs in providing ECM service to clients; (3) Data Reporting: an additional STC will report to each care management team to support data reporting; and (4) Billing: two STCs will support revenue cycle management functions to maximize efficiency, curtail costs and optimize administrative effectiveness. Extensive integration of STC support in CMS California Childrens Services (CCS) and Child Welfare Public Health Nursing (CWPHN) programs has demonstrated that STCs can assume duties (e.g., compiling medical records, documenting client encounter and utilization data, transferring notes into electronic record-keeping platforms, etc.) and free licensed staff (nurses and social workers) to devote more of their time providing clinical care and in direct client services. Some STCs will be deployed to support the ECM-CMS lead care managers and their support teams, based on a care staff-to-support staff ratio of 6:1 (one STC assigned to six lead care managers or their service managers), derived from staffing ratios in similar programs (e.g., CCS). As indicated above, other STCs will support health information processing and revenue cycle management, primarily via health information data entry. One or two of the STCs will be assigned to the HCFAs in revenue or expenditure management. The remainder will report to the Staff Analyst to transfer patient-level health data from CMSNet (CCS) and CWS/CMS (for the child welfare system) into ORCHID, the ECM EHR.

Program Overview

Enhanced Care Management (ECM) is a Medi-Cal managed care benefit that addresses clinical and non-clinical needs of high-need individuals through the coordination of services and comprehensive care management. Childrens Medical Services (CMS) administers the California Children Services, the Medical Therapy Program, the Child Welfare Public Health Nursing Program, and the CMS Edelman Childrens Court Pediatric Program. ECM-CMS program will serve this particularly vulnerable ECM population of focus (POFs): Children/Youth Enrolled in California Childrens Services (CCS) with Additional Needs Beyond the CCS Condition. DPHs ECM-CMS team has extensive experience and expertise in working with this population for intensive care management and care coordination. It is anticipated that some CCS clients are also in the Child Welfare System. Intensive care management will be provided based on comprehensive care plans that aim at addressing the need for overall care management for the multiple systems with which the child/youth and family interact.

The positions will start immediately upon acceptance and employment clearance and are initially funded through 8/31/26, with the good chance of extension.

Pay Rate

$21.70/hr working 40 hours a week

Full Time in El Monte, M-F, 8am – 5pm

Benefits

Paid Holidays, Paid Sick Time, PTO

Healthcare

Employer Fully Funded Healthcare (Anthem Blue Cross), Dental and Vision, Life Insurance from Initial Start Date.

Location: 9320 Telstar Ave , El Monte, CA, 91731

Job Duties

• STCs provide program support activities including, but not limited to:
• Transfer relevant ECM client demographic, health status, disease diagnosis, and healthcare utilization data from various clinical data systems into ORCHID (ECM EHR);
• Code ECM encounter and visit information in ORCHID for billing purposes;Follow up with providers to obtain relevant clinical information;Record ECM assessment results in electronic patient records for eligibility determinations;
• Contact clients for follow-up on specific tasks;
• Schedule ECM lead care manager visits with clients;Respond to email and telephonic informational inquiries;
• Assemble communications, correspondence, and materials in advance of client visits/calls in alignment with MCP and DHCS standards;
• Compile client and family consents, agreements, and other follow-up activities in ORCHID;
• Support ECM lead care managers in monitoring client outcomes and progress towards care plan goals and benchmarks;
• Regularly aggregate ORCHID data and prepare it for inclusion on claims submissions;
• Log and document revenue receipts and reconcile with claims submissions; and Prepare and monitor procurement and track expenditures.
  
  

Requirements;

• Three years office clerical experience involving typewriting, one year of which must have been in a specialized or supervisory capacity.
• Typewriting skill: Ability to type at the rate of 40 net words per minute.