We are seeking a detail-oriented and customer-focused Medical Billing Specialist to join a mental healthcare team. In this role, you will manage the billing process, ensure accurate claims submission, maintain compliance with health insurance policies, and support efficient revenue cycle management. The position also includes administrative support, QA-related tasks, and coordination with staff, providers, and external partners.
Key responsibilities
- Assist program staff with outcome data updates and program reporting
- Manage program information systems in accordance with DMH protocol
- Review and analyze denied claims from LACDMH and other payers
- Track denied claims, identify root causes, and troubleshoot billing issues
- Monitor insurance status of clients and send monthly updates to DMH
- Monitor provider status changes and submit updates to DMH
- Support providers and doctors with scheduling, system troubleshooting, QA tasks, and client entry into Quest lab systems
- Support QA activities, including chart preparation, initial reviews, follow-up, and EMR uploads
- Resolve claim issues that prevent invoicing and address voided claims
- Maintain staff records, licenses, and training databases
- Create accounts and set up new staff in Exym and NAPPA
- Perform additional duties as assigned
Requirements & Qualifications
- High school diploma required; bachelor's degree preferred
- Medical Billing Certification required
- One year of direct service experience in a hospital or mental health setting with an interdisciplinary team approach
- Knowledge of basic computer software, Microsoft Word, Excel, internet tools, Medi-Cal, Medicare, and private insurance
- Strong writing and oral communication skills
- Strong interpersonal, social, analytical, and problem-solving skills
- Excellent attention to detail and time management
- Ability to work independently and as part of a team
- Verification of employment eligibility and background check required
Benefits & Perks
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Location
Los Angeles, California, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago