Job ID: 2816
Location: Los Angeles, California
Category: Administration
Employment Type: Contract
Date Added: 04/29/2025
Pay Rate: $27 per hour
Location: In-Office in Corporate Office in South Central Los Angeles.
Hours: Monday – Friday 7:00-4:00 or 7:30-4:30
Our client is a Community Health Center, and they are seeking a Contract Medical Biller to support a retroactive billing project for at least 3 Months. The Medical Biller I is responsible for the coding and billing of Medical, Dental, Optometry, Behavioral Health, OB-GYN, and Podiatry, claims with knowledge in billing HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers as well as managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.
Required Qualifications:
- 6+ Months Medical Billing Experience.
- High School or GED.
- Medical Billing Certification required.
- eClinical Works experience is preferred.
- Demonstrated knowledge in billing Noridian Medicare and Medi-Cal, FQHC billing knowledge, and experience billing in claim form UB04 Institutional.
- Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers.
- Experience with managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.
- Advanced skills in analysis and MS Office suite.
- Create retroactive billing claims to the payer Medi-Cal.
- Verify eligibility in the Medi-Cal and Noridian portals.
- Copy CPT and ICD codes, Provider name and appointment facility from the original claim submitted to the new claim created.
- Work through patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection.
- Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
- Follow up on claims using various systems, such as eClinical Works, Claim Remedi clearinghouse, Payer portals, etc.
- Maintain contact with other departments to obtain and analyze patient information to document and process billings.
- Successfully scrub and quality control claims prior to submission.
- Work rejected claims and provides necessary follow-up to ensure successful claim processing.
- Maintain strong attention to detail and ability to multi-task.
- Maintains extremely high standards of professional conduct.
- Adhere to policies regarding safety, confidentiality, and HIPAA guidelines.
