Health Center Medical Biller

I/II BEHAVIORAL HEALTH SERVICES INC - 3.2

Gardena, CA Job Details Full-time $22.00 - $30.60 an hour 14 hours ago Qualifications Customer communication HIPAA compliance Medical billing and coding data entry Medicare HIPAA High school diploma or GED Driver's License Medicare regulations Medicaid Full Job Description Statement of Purpose Under the direct supervision of the Health Center Operations Director. The Medical Biller I is responsible for supporting the revenue cycle by accurately preparing, submitting, and following up on medical claims for services rendered within a health center setting. This role ensures timely reimbursement while maintaining compliance with payer guidelines, FQHC billing requirements, and organizational policies. The Medical Biller I works collaboratively with clinical and administrative teams to resolve billing issues and support continuity of care. Major Tasks, Duties and Responsibilities Prepare and submit accurate claims to Medi-Cal, Medicare, and commercial payers in a timely manner Review patient accounts for completeness, including insurance verification, coding, and required documentation Monitor claim status and follow up on unpaid, denied, or rejected claims Identify and resolve billing discrepancies, including eligibility issues and authorization requirements Post payments, adjustments, and denials accurately into the practice management system Assist with processing patient statements and responding to billing inquiries Maintain knowledge of FQHC billing requirements, including PPS and wrap-around payments Ensure compliance with federal, state, and payer-specific billing regulations Communicate with front office and clinical staff to correct or clarify billing information Maintain accurate and organized billing records for audit and compliance purposes Support month-end close processes and reporting as needed Participate in safety program to promote client and staff safety Maintain professional boundaries and standards of conduct Treat clients with respect, care, and concern at all times Maintain health and safety standards within the facility Recognize personal biases and demonstrate cultural sensitivity when working with diverse populations Attend meetings, trainings, and participate in committees as assigned Perform other duties as assigned Medical Biller I Competencies and Performance Expectations Ability to complete the above major tasks, duties and responsibilities Ability to demonstrate professional judgment and decision-making Ability to adhere to professional standards Strong attention to detail and accuracy in data entry and claim submission Ability to manage multiple task and meet deadlines in a fast-paced environment Effective communication and problem-solving skills Ability to maintain confidentiality and handle sensitive patient information Team-oriented with a customer service mindset Statement of Purpose Under the direct supervision of the Health Center Operations Director. The Medical Biller II is responsible for performing advanced revenue cycle functions, including complex claim resolution, denial management, and ensuring accurate reimbursement for services rendered within a health center setting. This role supports timely reimbursement while ensuring compliance with payer guidelines, FQHC billing requirements, and organizational policies. The Medical Biller II works independently and collaboratively with clinical and administrative teams to resolve billing issues, improve processes, and support continuity of care. Major Tasks, Duties and Responsibilities Prepare, review and submit accurate claims to Medi-Cal, Medicare, and commercial payers in a timely manner Perform detailed review of patient accounts for completeness, including insurance verification, coding, and required documentation Monitor claim status and follow up on unpaid, denied, or rejected claims Analyze and resolve billing discrepancies, including eligibility issues and authorization requirements Identify denial trends and implement corrective actions in collaboration with internal teams Post payments, adjustments, and denials accurately, ensuring appropriate follow-up and resolution Assist with processing patient statements and responding to billing inquiries Maintain knowledge of FQHC billing requirements, including PPS and wrap-around payments Ensure compliance with federal, state, and payer-specific billing regulations Communicate with front office and clinical staff to correct or clarify billing information Maintain accurate and organized billing records for audit and compliance purposes Support month-end close processes and reporting as needed Participate in safety programming to promote client and staff safety Maintain professional boundaries and standards of conduct Treat clients with respect, care, and concern at all times Maintain health and safety standards within the facility Recognize personal biases and demonstrate cultural sensitivity when working with diverse populations Attend meetings, trainings, and participate in committees as assigned Perform other duties as assigned Medical Biller II Competencies and Performance Expectations Ability to complete the above major tasks, duties and responsibilities Ability to demonstrate professional judgment and decision-making Ability to adhere to professional standards High level of accuracy and attention to detail Strong analytical and problem-solving skills, with ability to identify trends and implement solutions Ability to manage multiple task and meet deadlines in a fast-paced environment Effective communication and problem-solving skills Ability to maintain confidentiality and handle sensitive patient information Team-oriented with a customer service mindset Prerequisite Qualifications - HC Medical Biller I The following are the qualifications required to perform the essential functions of this position. Qualifications may be subject to modification based on the Americans with Disabilities Act. High school diploma or equivalent required. One year of medical billing experience in a healthcare setting preferred, ideally within a community health center or FQHC environment. Basic knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with Medi-Cal, Medicare, and managed care plans is preferred. Experience with electronic health records and practice management systems is highly desirable. Must have valid California driver's license and liability insurance if driving a personal or company vehicle on BHS business. Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties. Able to sit at a desk, use a keyboard, write and physically perform other job duties. Able to move about the facility to observe clients and staff. Ability to maintain confidentiality and comply with HIPAA regulations Prerequisite Qualifications - HC Medical Biller II The following are the qualifications required to perform the essential functions of this position. Qualifications may be subject to modification based on the Americans with Disabilities Act. High school diploma or equivalent required. A minimum of four years of progressively responsible medical billing experience in a healthcare setting is required, preferably within a community health center or FQHC environment. Strong knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with Medi-Cal, Medicare, and managed care billing required. Experience with electronic health records and practice management systems is highly desirable. Must have valid California driver's license and liability insurance if driving a personal or company vehicle on BHS business. Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties. Able to sit at a desk, use a keyboard, write and physically perform other job duties. Able to move about the facility to observe clients and staff. Ability to maintain confidentiality and comply with HIPAA regulations