Lead Medical Billing Operations Specialist

4 days ago


Los Angeles, California, United States LHH Recruitment Solutions Full time
Job Summary

We are seeking a highly skilled Lead Medical Billing Operations Specialist to join our team at LHH Recruitment Solutions in Los Angeles, CA.

This is a full-time position with a competitive salary of $73,000.00 - $84,000.00 per year, plus benefits and opportunities for professional growth.

About the Role

As a Lead Medical Billing Operations Specialist, you will be responsible for overseeing medical billing operations, ensuring compliance with DMH and Medi-Cal guidelines, and collaborating with cross-functional teams to streamline workflows.

You will be the go-to expert in DMH billing, managing claim accuracy, resolving issues, and implementing best practices.

  • Submit timely claims to DMH and third-party payers using EXYM, Office Ally, and other EHR tools.
  • Oversee claim accuracy and ensure compliance with Medi-Cal, CPT coding, and billing guidelines.
  • Manage, track, and resolve denied or voided claims promptly.
  • Partner with QA and clinical teams to ensure data integrity and smooth billing operations.
  • Maintain and update EXYM and other billing software for case closures, funding sources, and productivity updates.
  • Generate detailed reports on claim status, including unfiled, denied, and submitted claims.
  • Stay updated on the latest DMH and Medi-Cal billing requirements through continuous training.
Requirements

To be successful in this role, you will need:

  • Bachelor's degree in a related field (e.g., healthcare administration, business, or public health).
  • A minimum 5+ years of experience in medical billing, with a focus on DMH and Medi-Cal claims.
  • A minimum of 2 years of prior leadership or supervisory experience is preferred.
  • Proficiency in EXYM, DMH systems, Office Ally, and CPT coding.
  • Familiarity with HRIS systems (e.g., Dayforce) and report generation for financial tracking.
  • Advanced knowledge of EHR systems and Medi-Cal regulations.
Benefits

We offer a comprehensive benefits package, including:

  • Medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan.
  • Paid leave, including sick leave, holidays, and paid time off.

We are an equal opportunity employer and welcome applicants from diverse backgrounds. Apply today to take your career to the next level



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