Ventura County
Ventura, CA, USA
Overview THE POSITION: Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements.
Ideal Candidate The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. They are skilled in the Medi-Cal Provider Manual and TAR process, ensuring timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. They have experience in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, and ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations.
Medical Billing Specialist...