What are the responsibilities and job description for the Billing Specialist position at Phoenix House California?
Medical Billing Specialist
At Phoenix House California, we are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in the timely processing and submission of claims using the Welligent electronic health record system (EHRS) and hard copy documents, ensuring compliance with Medi-Cal, Los Angeles County Department of Mental Health contract (LACDMH), and Other Health Coverage (OHC) Carrier rules.
Key Responsibilities:
At Phoenix House California, we are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in the timely processing and submission of claims using the Welligent electronic health record system (EHRS) and hard copy documents, ensuring compliance with Medi-Cal, Los Angeles County Department of Mental Health contract (LACDMH), and Other Health Coverage (OHC) Carrier rules.
Key Responsibilities:
- Processes and submits claims to the correct payors in sequence, including weekly claims 'gathering' into claims cycles using the Welligent EHRS, for submission to Other Health Coverage (OHC) Carriers such as Kaiser and Anthem Blue Cross; follows up as needed to ensure claims do not age out, and adhere to the