Health Center Medical Biller II

Behavioral Health Services•Gardena, CA

2d•Onsite

About The Position

Under the direct supervision of the Health Center Operations Director, the Medical Biller II is responsible for performing advanced revenue cycle functions, including complex claim resolution, denial management, and ensuring accurate reimbursement for services rendered within a health center setting. This role supports timely reimbursement while ensuring compliance with payer guidelines, FQHC billing requirements, and organizational policies. The Medical Biller II works independently and collaboratively with clinical and administrative teams to resolve billing issues, improve processes, and support continuity of care.

Requirements

High school diploma or equivalent required.
A minimum of four years of progressively responsible medical billing experience in a healthcare setting is required, preferably within a community health center or FQHC environment.
Strong knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with Medi-Cal, Medicare, and managed care billing required.
Experience with electronic health records and practice management systems is highly desirable.
Must have valid California driver’s license and liability insurance if driving a personal or company vehicle on BHS business.
Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties.
Able to sit at a desk, use a keyboard, write and physically perform other job duties.
Able to move about the facility to observe clients and staff.
Ability to maintain confidentiality and comply with HIPAA regulations

Nice To Haves

Experience with electronic health records and practice management systems is highly desirable.

Responsibilities

Prepare, review and submit accurate claims to Medi-Cal, Medicare, and commercial payers in a timely manner
Perform detailed review of patient accounts for completeness, including insurance verification, coding, and required documentation
Monitor claim status and follow up on unpaid, denied, or rejected claims
Analyze and resolve billing discrepancies, including eligibility issues and authorization requirements
Identify denial trends and implement corrective actions in collaboration with internal teams
Post payments, adjustments, and denials accurately, ensuring appropriate follow-up and resolution
Assist with processing patient statements and responding to billing inquiries
Maintain knowledge of FQHC billing requirements, including PPS and wrap-around payments
Ensure compliance with federal, state, and payer-specific billing regulations
Communicate with front office and clinical staff to correct or clarify billing information
Maintain accurate and organized billing records for audit and compliance purposes
Support month-end close processes and reporting as needed
Participate in safety programming to promote client and staff safety
Maintain professional boundaries and standards of conduct
Treat clients with respect, care, and concern at all times
Maintain health and safety standards within the facility
Recognize personal biases and demonstrate cultural sensitivity when working with diverse populations
Attend meetings, trainings, and participate in committees as assigned
Perform other duties as assigned