Medical Billing Specialist

Jobot; Los Angeles (CA); On-site; USD 34,000 - 40,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K

Growth Options

Job summary

Jobot is seeking a Billing Specialist to manage accurate and timely billing for services in a nonprofit recovery setting. You will prepare, review, and submit claims, resolve denied submissions, and ensure compliance with applicable billing regulations.

The ideal candidate has 3+ years of medical billing experience, strong Excel skills, and experience with EHR/EMR systems. We offer excellent benefits and growth opportunities in a supportive team environment.

Qualifications

• High school diploma or GED required.
• 3+ years of hands-on medical billing experience.
• Preferred Medical Billing Certificate or equivalent.
• Experience with SAPC DMC-ODS billing system preferred.
• Experience handling denied claims, auditing and billing corrections.
• Proficient with ICD-10, CPT, HCPCS coding.
• Strong Excel skills and organizational abilities.
• Clear written and verbal communication.

Responsibilities

• Daily billing operations and claim submission.
• Reconcile billing records: authorizations, eligibility, diagnoses, modifiers.
• Analyze daily billing reports and flag discrepancies.
• Conduct monthly audits for compliance.
• Submit claims and follow up on denials or unpaid submissions.
• Collaborate with Billing Supervisor to resolve issues.
• Coordinate with agencies on reimbursement and documentation.
• Verify service documentation with Clinical Department.
• Maintain admissions tracking for new clients and statuses.
• Monitor authorization requests and timely submissions.
• Review counseling and education session logs for billing accuracy.
• Utilize PCNK/MyEvolv for billing tasks.
• Stay updated on Title 22, Title 9 and DMC guidelines.

Skills

Medical Billing

Claims Processing

EHR/EMR

Excel

Organization

Communication

Math skills

Teamwork

DMC Codes

Education

High school diploma or GED

Medical Billing Certificate or equivalent

Tools

PCNK

MyEvolv

SAPC DMC-ODS

Job description

Billing Specialist - Leading TX Center for over 40 years

This Jobot Job is hosted by: Jamal Elkhateib

Salary: $25 - $29 per hour

A bit about us

We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth.

Why join us?

• Medical
• Dental
• Vision
• 401K
• Growth Options

Job Details

The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail-oriented, tech-savvy, and experienced in medical billing systems and procedures.

Key Responsibilities

• Daily Billing Operations
• Reconcile billing records for accuracy, including authorizations, eligibility, diagnoses, and modifiers.
• Analyze daily billing reports and flag discrepancies.
• Auditing & Compliance
• Conduct monthly audits of billable claims to ensure compliance.
• Submit claims and follow up on outstanding or denied submissions.
• Collaboration & Communication
• Work with the Billing Supervisor to resolve audit findings and claim issues.
• Coordinate with agencies to address reimbursement and documentation concerns.
• Partner with the Clinical Department to verify service documentation.
• Documentation & Tracking
• Maintain admissions tracking for new clients, discharges, and status updates.
• Monitor authorization requests/extensions and ensure timely submission.
• Review group counseling and education session logs for billing accuracy.
• System Proficiency
• Use electronic health record systems (e.g., PCNK, MyEvolv) for billing activities.
• Stay current on Title 22, Title 9, and DMC Provider Manual guidelines.

Must-Have Skills & Knowledge

• Medical billing and coding (ICD-10, CPT, HCPCS)
• Claims processing and revenue cycle understanding
• EHR/EMR system proficiency
• Microsoft Excel expertise
• Strong organizational and time management skills
• Clear written and verbal communication
• Basic math skills
• Team collaboration
• Familiarity with DMC procedure codes

Education & Experience Requirements

• Required: High school diploma or GED
• Preferred: Medical Billing Certificate or equivalent experience
• Required: Minimum 3 years of hands-on medical billing experience
• Preferred: At least 1 year working with SAPC DMC-ODS billing system
• Experience in denied claims handling, auditing, and billing correction

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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