DMH Medical Biller
Robert Half Accountemps
Description
A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, remote work opportunities may be available.
Key Responsibilities:
+ Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.
+ Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.
+ Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed.
+ Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.
+ Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.
+ Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.
+ Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.
Requirements
+ Minimum of 3 years of experience in medical billing with a focus on Medi-Cal and medical insurance collections.
+ Proven knowledge of claims denials management, including appeals and follow-ups to maximize reimbursements.
+ Experience working with DMH billing and familiarity with DMH-specific processes and requirements (remote work available for candidates with DMH experience).
+ Proficient in medical coding systems (CPT, ICD-10, HCPCS) and claim submissions.
+ Strong technical skills and experience using medical billing software or health information systems (EPIC or similar platforms preferred).
+ Exceptional organizational skills, attention to detail, and the ability to work independently in a deadline-driven environment.
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