Medical Billing Specialist I/II - Behavioral Health

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 timely basis. Perform other related duties as required. Qualifications Minimum of six (6) months of medical billing experience for Medical Billing Specialist I. Two (2) years of professional medical billing experience, including billing in Medi‑Cal and/or chemotherapy, or one (1) year as a Medical Billing Specialist I for the County of Ventura for Medical Billing Specialist II. Associate’s or Bachelor’s degree in a business‑related field (desired). Experience in Managed Care/Medicaid/Medi‑Cal/Medicare and/or commercial insurance billing. Experience with multiple electronic health record (EHR) systems, such as Cerner, HURON, and/or Claim Source. Knowledge of medical reimbursement programs, CPT, ICD‑10, HCPCS codes, Medi‑Cal Provider Manual, and the treatment authorization request (TAR) process. Skill to communicate effectively with peers, managers, patients, and payers; process bills accurately; research accounts; evaluate compliance and audit issues. Benefits Educational incentive: 2.5% for completion of an associate degree, 3.5% for a bachelor’s degree, or 5% for a graduate degree. Bilingual incentive based on certification: $0.69/hour (Level I), $1.00/hour (Level II), or $1.32/hour (Level III). Merit increases: initial 5% after 1,040 hours of service; subsequent increases after each additional 2,080 hours. Deferred compensation through County 401(k) Shared Savings Plan and Section 457 Plan with up to 3 % matching and additional 2 % after five years. Health plans with flexible credit allowance; 100 % dental and vision premiums paid by County. Flexible Spending Accounts for eligible medical, dental, and vision expenses. Pension plan with lifetime payments; vested after five years. 13 paid holidays, including a scheduled floating holiday. Tuition reimbursement, disability plans, employee assistance program, life insurance, wellness program. Equal Employment Opportunity The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability, exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex, or sexual orientation. #J-18808-Ljbffr