Medical Biller- Per Diem

Newport County Community Mental Health Center; Middletown (CA); On-site; USD 33,000 - 46,000; Part time

Benefits offered by this job

3 weeks PTO

11 paid holidays

Medical, dental, vision

Job summary

Newport Mental Health is seeking a Medical Biller-Per Diem to support timely reimbursement in our billing office. You will handle PPS-2 submissions, ICD-10/CPT coding, and denial resolution to maintain clean claims and steady cash flow.

Requirements include 3+ years of medical billing, knowledge of PPS, Medicaid/Medicare, and experience with EMRs (Echo or Acorn preferred). Per diem schedule with competitive pay and benefits offered.

Qualifications

• 3+ years of medical billing experience
• Knowledge of CCBHC or FQHC billing models, including PPS reimbursements
• Proficiency in CPT, ICD-10, and HCPCS coding

Responsibilities

• Execute end-to-end CCBHC billing, including PPS-2 claim/encounter submission.
• Ensure accurate coding and claim quality (ICD-10/CPT) for behavioral health, SUD, and integrated services; collaborate with clinical/operational teams.
• Submit electronic claims via clearinghouse/EDI to Medicaid, Medicare, and commercial payers; identify and resolve submission rejections and system edits.
• Manage denials and underpayments by researching issues, correcting/resubmitting claims, filing appeals, and communicating with payers.
• Maintain patient accounts and billing data to support clean claims and timely payment.
• Post payments/adjustments and reconcile EOBs/remittances; ensure accurate cash posting and account reconciliation.
• Perform A/R follow-up and patient balance resolution, including proactive outreach and clear communication.
• Maintain compliant billing documentation and support audits, compliance reviews, reporting, and related revenue cycle activities.

Skills

Medical billing

PPS

ICD-10/CPT

Tools

Echo

Acorn

Job description

Description

Medical Biller-Per Diem

WHY JOIN NEWPORT MENTAL HEALTH?

At Newport Mental Health, we invest in our employees by offering competitive pay, exceptional time-off benefits, opportunities for professional growth, and a supportive, mission-driven culture.

What We Offer…

• 3 weeks of paid time off (PTO) to start, with additional PTO for Director-level roles
• Up to 11 paid holidays each year
• 1 paid Flex Holiday each year
• Separate paid personal days
• Separate paid sick time
• $3,000 annual bilingual pay incentive
• Medical, dental, and vision coverage
• Flexible Spending Accounts (FSA) and Dependent Care Accounts
• 403(b) retirement savings plan
• Company-paid life insurance
• Tuition reimbursement
• Employee Assistance Program and wellness resources

*Benefits and eligibility vary by position, scheduled hours, and employment status; additional criteria may apply to certain benefits and incentives.

WHO WE ARE…

Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic.

For more information visit our website: www.newportmentalhealth.org

WHO WE ARE LOOKING FOR…

Mission- Aligned: You are excited to be a part of Newport Mental Health’s mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.

Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities.

Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.

Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.

WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) …

The CCBHC Medical Biller supports timely, accurate reimbursement by coding services, submitting claims, resolving denials and payment discrepancies, and maintaining complete billing documentation. This role requires working knowledge of the Prospective Payment System (PPS) model, Medicaid and commercial payer billing requirements, and compliance with applicable state and federal CCBHC guidelines.

Main Duties and Responsibilities:

• Execute end-to-end CCBHC billing, including PPS-2 claim/encounter submission, ensuring all encounter and payer requirements are met.
• Ensure accurate coding and claim quality (ICD-10/CPT) for behavioral health, SUD, and integrated services; partner with clinical/operational teams to resolve documentation and coding gaps.
• Submit electronic claims via clearinghouse/EDI to Medicaid, Medicare, and commercial payers; identify and resolve submission rejections and system edits.
• Manage denials and underpayments by researching issues, correcting/resubmitting claims, filing appeals, and communicating with payers; analyze denial trends and recommend process improvements to maximize reimbursement.
• Maintain patient accounts and billing data (demographics, insurance, eligibility verification, and authorizations) to support clean claims and timely payment.
• Post payments/adjustments and reconcile EOBs/remittances; ensure accurate cash posting and account reconciliation.
• Perform A/R follow-up and patient balance resolution, including proactive outreach and clear communication regarding financial responsibility and billing questions.
• Maintain compliant billing documentation and support audits, compliance reviews, reporting, and related revenue cycle activities as assigned.

Requirements

WHAT WE EXPECT OF YOU…

• 3+ years of medical billing experience, preferably in behavioral health or healthcare revenue cycle operations
• Knowledge of CCBHC or FQHC billing models, including PPS reimbursements
• Proficiency in CPT, ICD-10, and HCPCS coding
• In-depth understanding of Medicaid, Medicare, and commercial insurance billing
• Experience with billing systems and EMRs (e.g., Echo, Acorn preferred)
• Strong analytical skills with the ability to interpret billing data and resolve complex issues
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines
• High attention to detail and commitment to compliance, accuracy, and confidentiality
• Proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)

Newport Mental Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.