Medical Billing Specialist I/II — Reimbursement & Compliance

County of Ventura; Oxnard (CA); On-site; USD 32,000 - 40,000; Full time

Benefits offered by this job

Educational incentive

Bilingual incentive

Merit increases

Deferred compensation

Health plans

Flexible spending accounts

Pension plan

Holidays

Additional benefits

Job summary

County of Ventura is seeking a Medical Billing Specialist I/II to perform billing and claims processing for Medi-Cal, Medicare, and other insurers in a Behavioral Health setting. The role emphasizes timely submissions, accuracy, and compliance with payer requirements.

Responsibilities include reviewing bills, following up on denials, and coordinating with payers. Experience with CPT/ ICD-10/HCPCS and multiple EHR systems is preferred; a business-related degree is valued.

Qualifications

• Open, direct communication with peers, managers, patients and payers.
• Knowledge of medical billing processes and reimbursement guidelines.
• Experience with Medi-Cal/Medicare/Medicaid billing.
• Familiarity with CPT/ ICD-10/HCPCS coding and EHR systems.

Responsibilities

• Review and process medical bills and transmit timely to intermediaries.
• Ensure accuracy and compliance with billing, coding and follow-up requirements.
• Maintain billing work queue and monitor for timely submission.
• Follow up on denial codes and assist with reimbursements.
• Assist with compliance audits and documentation.

Skills

Communication skills

Attention to detail

Medical billing knowledge

EHR systems experience

Education

Associate's or Bachelor's degree in business

Tools

Cerner

HURON

Claim Source

Job description

County of Ventura is seeking a Medical Billing Specialist I/II to perform billing and claims processing for Medi-Cal, Medicare, and other insurers in a Behavioral Health setting. The role emphasizes timely submissions, accuracy, and compliance with payer requirements.

Responsibilities include reviewing bills, following up on denials, and coordinating with payers. Experience with CPT/ ICD-10/HCPCS and multiple EHR systems is preferred; a business-related degree is valued.