Top 20 Medical billers Jobs in Merced, Ca

Dental Billing Clerk
Castle Family Health Centers —Atwater, CA
- $22.00 - $22.01 an hour
- 8 hour shift
- Spanish
- Customer service
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
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Dental Billing Clerk

Castle Family Health Centers -
Atwater, CA

Quick Apply

Job Details

Full-time
$22.00 - $22.01 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Life insurance

Qualifications

Collaborate with healthcare professionals
Spanish
Accounts receivable management
Medical insurance coverage verification
Customer service
CMS
Regulatory compliance in claims processing
Dental insurance
Medical billing and coding coordination with healthcare providers
HIPAA
Mid-level
High school diploma or GED
CMS regulatory compliance
Charge capture (medical billing)
Medical denial trend identification
Clinical information systems
Health record chart audits
Clinical documentation
Health information regulatory compliance
Payment posting in medical billing systems
Organizational skills
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Insurance provider collaboration
Clinical documentation improvement
Typing
Clinical documentation standards
Medical claim status updates
Audit support
Documentation reviews

Full Job Description

Key Responsibilities: Medi-Cal (Denti-Cal) Billing – Primary Focus: - Prepare, review, and submit dental claims in accordance with Denti-Cal/Medi-Cal guidelines. - Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs). - Verify eligibility and benefits prior to claim submission. - Monitor claim status and resolve denials, including documentation and X-ray requirements. EHR ReviewDocumentation Validation: - Review patient charts to ensure billed procedures are supported by documentation. - Verify required X-rays (bitewings, periapical, panoramic) are present and compliant. - Confirm procedure notes, tooth numbers, surfaces, and clinical justification. - Coordinate corrections with providers prior to submission. Commercial Billing: - Submit claims to commercial carriers and manage coordination of benefits. - Post payments and identify denial trends. Accounts Receivable: - Work A/R reports and follow up on unpaid claims. - Correct and resubmit claims as needed. Compliance: - Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements. - Support audits and ensure documentation integrity. Collaboration: - Communicate with providers and staff regarding documentation issues. - Assist with training and workflow improvements.

Desired Qualifications:

o High School Graduate and/or billing certificate

o Type 35-45 wpmComputer skills

o Customer services experience

o Bilingual Spanish preferred

o Strong organizational skills

Must be a team player

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
$ 21 per hr

Schedule:

8 hour shift
Day shift
Monday to Friday

Ability to commute/relocate:

Atwater, CA 95301: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

Quick Apply

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