Ventura County

Ventura County seeks a Medical Billing Specialist III/IV to manage billing and claim processing for behavioral health services. Ideal candidates have at least three years of experience in medical billing, strong knowledge of Medicare, Medi-Cal, CPT, ICD-10, and proven skills in communication and team leadership. The position offers a comprehensive benefits package including health plans, vacation accrual, and pension participation, all in a diverse and inclusive work environment. #J-18808-Ljbffr

Medical Billing Specialist III/IV – Ventura County Behavioral Health The County of Ventura seeks experienced Medical Billing Specialists to manage billing and claim processing for Medi‑Cal, Medicare and other insurance for behavioral health services. Under general direction, applicants perform billing, coding, compliance, and quality assurance duties to ensure timely reimbursement and regulatory adherence. Ideal Candidate Qualified candidates will possess: Specialized mental health billing expertise, including CPT, ICD‑10, and HCPCS coding for Medicare and Medi‑Cal. Proficient knowledge of the Medi‑Cal Provider Manual and TAR process. Strong communication skills with peers, patients, and payers and ability to resolve billing disputes. Experience leading and training staff in Managed Care, Medicaid, and commercial insurance billing. Experience with multiple EHR systems such as Cerner, HURON, or Claim Source. Responsibilities Review and analyze bills, transmit claims...

Department Ventura County Health Care Agency (HCA) Behavioral Health (VCBH) provides comprehensive mental health and substance use treatment services tailored to meet the needs of our community. Position Medical Billing Specialist I/II under general supervision. Responsibilities include billing and processing claims for Medi‑Cal, Medicare, and other insurance reimbursement requirements. Responsibilities Review and analyze bills as they come off the system and transmit them in a timely manner to the appropriate intermediary. Ensure accuracy and compliance with billing, coding, and follow‑up requirements and identify overpayments and documentation issues. Maintain a work queue backlog of up to 46 hours of receipt. Review and follow up on denial codes transmitted to providers for potential reimbursement. Provide information to payors and ensure reimbursement is received. Gather, compile, and analyze billing and statistical data. Prepare bills and claims and transmit them on a...

Ventura County is seeking a Medical Billing Specialist I/II to handle billing and claims for Medi-Cal and Medicare. The role involves analyzing bills and ensuring accurate reimbursement for services provided. Applicants should have at least six months of medical billing experience and be proficient in various billing systems. This position offers a comprehensive benefits package including educational incentives, merit increases, and health plans with flexible allowances. Join Ventura County to contribute to our commitment to quality mental health care. #J-18808-Ljbffr