2 jobs found in Oxnard

The County of Ventura seeks a Medical Billing Specialist III/IV responsible for billing and processing claims for Medi-Cal, Medicare, and general insurance. The role requires strong experience in billing systems, compliance, and supervision. Candidates should possess a degree in a business-related field along with professional billing experience. Compensation ranges from $25.99 to $36.62 per hour, depending on the role level. Benefits include vacation accrual, health plans, and educational incentives. #J-18808-Ljbffr

Position Overview Responsible for billing and processing claims for Medi‑Cal, Medicare, and general insurance. Ensures timeliness of reimbursement and compliance with billing regulations. Works under general direction (III, IV). Responsibilities Review and analyze bills from the system and transmit them to appropriate intermediaries in a timely manner. Ensure accuracy and compliance with coding, documentation, and follow‑up requirements, identifying overpayments and documentation issues. Maintain work queue with backlog limited to 46 hours of receipt. Follow up on denial codes transmitted to providers and coordinate reimbursements. Gather, compile, and analyze billing and statistical data. Prepare and transmit bills and claims promptly. Provide advanced‑level billing assistance and supervision as a lead person for Medicare and/or Medi‑Cal departments. Review submittals to ensure accurate transmission and timely payment. Review bulletin updates to identify new...