Medical Billing Specialist

Salary : $44,324.80 - $59,716.80 Annually
Location : Orange County, CA
Job Type: Full-Time Regular
Job Number: 0631CL-0324-003 (O)
Department: Auditor/Controller
Opening Date: 03/04/2024
Closing Date: 3/18/2024 11:59 PM Pacific
CAREER DESCRIPTION
Medical Billing Specialist
SALARY INFORMATION
This position is scheduled to receive salary range increases on the following dates:
Effective June 28, 2024 - 4.25% increase
Effective June 27, 2025 - 4.00% increase
Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.
OPEN TO THE PUBLIC
This recruitment will establish an open eligible list. The eligible list established through this recruitment will be used to fill current/future vacancies in Auditor-Controller and/or any other agencies within the County of Orange. This recruitment may also be used to fill positions in similar and/or lower classifications.
DEADLINE TO APPLY
Qualified applicants are encouraged to apply immediately, as the recruitment will close onMONDAY, MARCH 18, 2024 at 11:59 PM (PST).
ORANGE COUNTY
Orange County is a desirable place to live - and is one of the premier employers in the region, as well as the third largest populated County in California. At the County you will find variety, individual opportunity, job satisfaction, and the pleasure of working with colleagues who are dedicated to making a positive difference. You can learn more about the County of Orange by clicking
AUDITOR-CONTROLLER
The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by supporting ethical and responsible financial decisions throughout the County. You can learn more about the Auditor-Controller Department by clicking
HEALTH CARE AGENCY
Health Care Agency Accounting is part of the Satellite Operations Division of the Auditor-Controller Department that is responsible for providing accounting support services to the Orange County Health Care Agency (HCA) Department. The Medical Billing Unit, within the HCA Accounting Division, ensures that HCA is billing in compliance with federal and state guidelines and all billing deadlines are met and revenue collection is not jeopardized. The Medical Billing Unit supports all the coding, billing and collections activities on behalf of HCA. You can learn more about the Health Care Agency by clicking
THE OPPORTUNITY
Under general supervision, the Medical Billing Specialist is responsible for processing and submitting claims to Medi-Cal and third-party health plans for services provided by HCA's public health, mental health and recovery or substance use disorder services, in compliance with state/federal regulations. Candidate's duties include, but may not be limited to, patient eligibility verification for HCA programs, register patient demographics in the system, post patient charges, and ensure correct registration of medical insurance information. The Medical Billing Specialist will perform claims follow up duties, researching claims not paid or underpaid, taking actions necessary to resolve claims. All HCA Accounting positions are assigned to the Auditor-Controller's satellite accounting team at the Health Care Agency.
MINIMUM QUALIFICATIONS AND CORE COMPETENCIES
One year of experience preparing and processing electronically-generated Medical Billing, preferably in a hospital, medical office or public health setting.
OR
The ideal candidate will possess three (3) years of office services experience which would have developed the knowledge and abilities listed in the job posting.
Education in the areas of Medical Billing, accounting, office services procedures or medical terminology may be substituted for up to one year of the required office services experience on the basis of one semester unit for one month of experience.
In addition, the ideal candidate will possess experience and/or knowledge in the following:
Technical Expertise

• Preparing and processing electronically-generated Medical Billing
• Knowledge of Public Health programs and other commercial insurances
• Knowledge of Public Health programs federal/state guidelines
• Knowledge of medical terminology and/or Current Procedural Terminology (CPT)
• International Classification of Diseases (ICD)
• Experience with Microsoft Excel and Word, and billing systems
• Understanding of policies, rules, and regulations regarding County procedures

Analysis/Problem Solving

• Reviewing documents to ensure accuracy and correct information is processed
• Researching and follow up on claims that are denied or unpaid
• Identifying and successfully resolving complex issues and problems efficiently
• Reviewing claims and determining eligibility for payment

Effective Communication

• Strong communication skills, both written and verbal, are required
• Interpreting detailed and complex information and explaining to people who are unfamiliar with it
• Communicating complex rules and regulations to the public, vendors, or those unfamiliar with county procedures
• Excellent oral and written communication skills
• Communicating with customers when claim is denied or incomplete, and follows through on pending issues to accomplish resolution

MINIMUM QUALIFICATIONS:
Click for more information on minimum qualifications for this classification.
NOTE: Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.).
RECRUITMENT PROCESS
Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the competition.
Application Screening(Refer/Non-Refer)
Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those candidates that meet the qualifications as listed in the job bulletin will be referred to the next step.
Structured Oral Interview | SOI (Weighted 100%)
Applicants will be interviewed and rated by an oral interview panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the applicant's qualifications for the job. Only the most successful candidates will be placed on the eligible list.
Based on the Department's needs, the selection procedures listed above may be modified. Candidates will be notified of any changes in the selection procedures
Please note: The information you provide on your application and/or response to the supplemental questions may be used as a scoring device, so please be thorough and complete in your response. "See Resume" is not a qualifying response and will not be scored in lieu of the required information.
Veterans Employment Preference Policy (VEPP)
The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click to review the policy.
Eligible ListOnce the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. Only the most successful candidates will be placed on the eligible list.
ADDITIONAL INFORMATION
Please see below for important information regarding COVID 19 related requirements
Effective April 3, 2023, it is strongly recommended that County employees working in health care settings and correctional facilities follow vaccination and booster guidelines provided by the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC). Please click to see the latest guidance for more details.
EMAIL NOTIFICATION:
Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account.
NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply.
Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at
FREQUENTLY ASKED QUESTIONS:
Click for additional Frequently Asked Questions.
For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at
EEO INFORMATION
Orange County, as an equal employment opportunity employer,
encourages applicants from diverse backgrounds to apply.
Non-Management Benefits
In addition to the County's standard suite of benefits, such as a variety of health plan options, annual leave and paid holidays--we also offer an excellent array of benefits such as a Health Care Reimbursement Account, 457 Defined Contribution Plan and Annual Education and Professional Reimbursement. Employees are provided a Retirement Plan through the Orange County Employees Retirement System
Please go to the following link to find out more about Defined Benefit Pensions and OCERS Plan Types/Benefits.
Click for information about benefits offered to County of Orange employees.
01
Please select the option that best describes your knowledge and experience related to the abilities required for the position. If you choose Option 2, please attach your transcripts or diploma to the application. Failure do so will result in application being considered incomplete.

• Three years of office services experience which would have developed the knowledge and abilities listed in the job posting.
• Education in the areas of Medical Billing, accounting, office services procedures or medical terminology may be substituted for up to one year of the required office services experience on the basis of one semester unit for one month of experience and at least two years of office services experience which would have developed the knowledge and abilities listed in the job posting.
• One year of experience preparing and processing electronically-generated Medical Billing, preferably in a hospital, medical office or public health setting.
• None of the above

02
If you are substituting education for up to one year of the required office services experience, Note: You must attach an official or unofficial transcript to your application in order to validate the information you provided above. Failure to do so will cause your application to be incomplete.By selecting you agree, you are certifying that you understand if you do not submit your transcript, in the case you would like to utilize the education substitution, your application will be rendered incomplete and you will not proceed within this recruitment?

• i agree.

03
Please detail your education, including coursework as it relates to the position.
04
Please select the option that best describes your experience working in Medical Billing and client accounts:

• Less than one year of experience
• One to less than two years of experience
• Two to less than three years of experience
• Three to less than five years of experience
• Five or more years of experience

05
In detail, please describe your experience and/or education in the area of Medical Billing, specifically with understanding and interpreting regulations for billing Medi-Cal, Medicare, commercial insurances, or self pay clients.
Required Question