Job DescriptionJob Title: Medical Biller / Authorization & Administrative Support
NExperience Level: 2+ Years
NLocation: Vadodara, Gujarat, India / WFH
NShift Time: US Shift (10-hour shift including a 1-hour break)
NExperience Required
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Minimum 2+ years of hands-on experience in medical billing, preferably within Medi-Cal managed care, behavioral health, or social services billing. N
Hands-on experience with Office Ally for claims submission, eligibility verification, and ERA/EOB retrieval is strongly preferred. N
Experience billing to IEHP or California Medi-Cal managed care plans will be an added advantage. N
Familiarity with CalAIMCommunity Supports, including HTNS, HTSS, or similar services, is preferred. N

nKey Responsibilities
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Prepare, review, and submit HTNS and HTSS claims through the Office Ally clearinghouse, ensuring accurate coding, units, authorization numbers, and member eligibility. N
Monitor clearinghouse reports daily to identify claim acceptance, rejections, and required corrections. N




Track claims from submission through adjudication and follow up on pending, denied, or underpaid claims. N
Reconcile remittance advices (835s/EOBs) against expected reimbursement and accurately post payments and adjustments. N
Research and resolve claim denials by identifying root causes such as authorization mismatches, eligibility gaps, and coding errors. N
Maintain and update reauthorization trackers to ensure services are billed within active authorization periods. N
Verify member Medi-Cal/IEHP eligibility prior to billing and flag discrepancies to the appropriate internal team. N
Maintain accurate, organized, and audit-ready billing records in compliance with HIPAA and applicable privacy requirements. N
Prepare weekly and monthly billing reports covering aging claims, denial trends, and collections. N
Stay updated on IEHP authorization guidelines, CalAIM billing requirements, and Office Ally sys

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