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Account Clerk (Medi-Cal)

Tryfacta

Job Description

Job Description

Position Title: Account Clerk Level II
Location: Sacramento, CA 95827
Duration: 2 Years
Work Schedule: Mon-Fri, 8:00 AM to 4:30 PM

Looking for candidates with client Clerk experience . Alternatively, client would also consider candidates with experience processing Medi-Cal or medical claims , as this will constitute the majority of the work, in addition to other accounting responsibilities such as accounts payable, accounts receivable, and general fiscal support. The Account Clerk Level II will provide essential fiscal and administrative support, including processing financial transactions and Medi-Cal claims, maintaining accurate financial records, and assisting with day-to-day accounting functions to help ensure the continuity of our operations.

Position Summary: Under the general supervision of the Administrative Services Officer II (ASO II) or designee, performs routine and journey-level clerical, payroll, purchasing, personnel-support, records management, and administrative support functions for client facility. Incumbents are responsible for maintaining records, processing transactions, coordinating administrative processes, monitoring routine operational activities, and providing support to management and staff. Work is performed in accordance with established County policies, departmental procedures, regulatory requirements, and correctional healthcare operational standards. This position serves as an administrative resource to JCH leadership and staff and supports the efficient operation of healthcare services within a juvenile correctional environment

Responsibilities for this position include, but are not limited to:

PERSONNEL AND HUMAN RESOURCES SUPPORT

Provides administrative support for personnel and human resources functions by assisting with employee onboarding and offboarding activities, coordinating new hire documentation and pre-employment requirements, and scheduling onboarding-related appointments and activities. Maintains employee personnel files, desk files, and other administrative records; monitors probationary periods, performance evaluations, certifications, licenses, and required training records to ensure compliance with County and departmental requirements. Assists management with recruitment activities, including interview scheduling and candidate communications, while maintaining confidentiality of personnel information and records. Tracks personnel actions and maintains accurate supporting documentation in accordance with established policies and procedures.

PERSONNEL AND HUMAN RESOURCES SUPPORT

Provides administrative support for personnel and human resources functions by assisting with employee onboarding and offboarding activities, coordinating new hire documentation and pre-employment requirements, and scheduling onboarding-related appointments and activities. Maintains employee personnel files, desk files, and other administrative records; monitors probationary periods, performance evaluations, certifications, licenses, and required training records to ensure compliance with County and departmental requirements. Assists management with recruitment activities, including interview scheduling and candidate communications, while maintaining confidentiality of personnel information and records. Tracks personnel actions and maintains accurate supporting documentation in accordance with established policies and procedures.

CLAIMS AND BILLING SUPPORT

The Account Clerk provides administrative support for claims and billing processes by receiving, logging, tracking, routing, and maintaining billing-related records and supporting documentation. The position assists with claims workflow management and ensures that claims and invoices are processed in a timely manner in accordance with established departmental procedures. Process claims for payment daily.

A. Claims Intake: Receives and processes incoming provider claims, invoices, and billing-related correspondence. Opens, date-stamps, logs, and routes claims and supporting documentation to the Clinic Manager or designee for review and determination; sorts billing documents by provider, service type, and date of service; maintains claims tracking records; and ensures billing materials are processed in accordance with established procedures and timelines.

B. While the Clinic Manager or designee retains responsibility for:

  • Reviewing and approving claims
  • Verifying encounters and Intent to Incarcerate (ITI) status
  • Determining financial responsibility
  • Approving or denying claims
  • Evaluating Medi-Cal eligibility issues
  • Authorizing payment requests
  • Resolving billing-related matters requiring independent judgment or management review

C. The Account Clerk is responsible for monitoring claims and billing workflows to ensure claims are routed to the Clinic Manager or designee for review and determination in a timely manner. The Account Clerk tracks claim status, follows up on pending reviews, maintains billing records and supporting documentation, and coordinates the timely processing of claims and invoices.

PURCHASING AND FISCAL SUPPORT

Provides purchasing and fiscal support by processing purchase requisitions, invoices, payment requests, and related documentation; maintaining purchasing records, vendor files, expenditure logs, and tracking systems; assisting with supply ordering, inventory monitoring, and the receipt and distribution of supplies and materials; preparing routine purchasing and expenditure reports for management review; and identifying discrepancies or issues requiring management attention and follow-up.

PAYROLL AND TIMEKEEPING SUPPORT

Provides payroll and timekeeping support by monitoring timesheet submission and approval status to ensure employees and supervisors meet established payroll deadlines. Maintains attendance, leave, and payroll-related records; communicates payroll requirements, reminders, and deficiencies to appropriate staff; coordinates payroll documentation and supporting records; serves as a liaison with County payroll staff regarding routine payroll inquiries and issues; and maintains payroll tracking systems, reports, and records to support accurate and timely payroll processing.

CUSTOMER SERVICE

Provides customer service and administrative support by serving as a point of contact for staff, County departments, vendors, contractors, and external agencies. Responds to routine inquiries in a timely, professional, and courteous manner; provides information regarding departmental processes and procedures; routes complex issues to the appropriate supervisory or management staff; and maintains positive and effective working relationships with internal and external stakeholders.

WORK PRODUCT

Produces accurate, timely, and professional work products that support departmental operations. Maintains organized records and documentation, demonstrates attention to detail and sound organizational skills, follows established procedures and standards, and ensures assignments are completed within required timelines while maintaining accountability, consistency, and quality.

COMMUNICATION AND INTERPERSONAL SKILLS

Communicates clearly, accurately, and professionally both verbally and in writing. Establishes and maintains effective working relationships with staff, management, County departments, vendors, and external stakeholders; responds to communications promptly and appropriately; prepares professional correspondence and reports; and exercises tact, discretion, and professionalism when handling sensitive, confidential, or potentially sensitive information.

To be considered for this position, you should have: [ Skills, Education, or Experience]

General Expectations: Demonstrates professionalism, accountability, reliability, and sound judgment in the performance of assigned duties. Reports to work prepared and on time, attends required meetings, trainings, and departmental functions, complies with County and departmental policies and procedures, maintains confidentiality of personnel, operational, fiscal, and health-related information, and fosters teamwork and collaboration. Maintains flexibility and adaptability within a correctional healthcare environment, completes all required training within established timeframes, promotes a safe work environment by identifying and reporting workplace hazards or concerns, and performs other duties consistent with the Account Clerk classification as assigned.

Required Acknowledgements and Agreements
  • Maintain patient confidentiality in accordance with HIPAA provisions.
  • Review, sign, and adhere to the JCH Employee Code of Conduct, YDF Safety and Security Guidelines, and IT Security Awareness.
\nCompany Description

About US:
Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems.

Founded in March 1996, we have a presence in all 50 States. Tryfacta has Ranked number 1 as one of the fastest-growing companies by Inc. Magazine (Inc. 5000)!

Tryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement.

Company Description

About US:\r\nTryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems.\r\n\r\nFounded in March 1996, we have a presence in all 50 States. Tryfacta has Ranked number 1 as one of the fastest-growing companies by Inc. Magazine (Inc. 5000)!\r\n\r\nTryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement.

Vacancy posted 1 day ago
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