Medical Billing Specialist

MEDICAL BILLING SPECIALIST

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 on
MONDAY, AUGUST 18, 2025, at 11:59 PM (PST).

ORANGE COUNTY

Whether it’s manicured beach towns or celebrated theme parks, all framed by oceanfront towns and luxury yachts, Orange County is commonly known as “The OC” and stands out as one of the state’s most iconic destinations. With a population of over three million residents, Orange County is the sixth largest county in the United States. Residents enjoy over 42 miles of pristine beaches, three major harbors, vast wilderness parks, beautiful nature preserves, and approximately 402 miles of riding and hiking trails. The OC is a destination region rich with top-notch universities and colleges, some of the highest quality public and private schools in the nation, many corporate headquarters and technology firms, and four international airports within an hour’s drive. Many world-class meeting and entertainment venues, convention centers, and some of the state’s most popular attractions such as Disneyland and California Adventure Resorts, Knott’s Berry Farm, and major sports franchises including the Anaheim Angels Baseball, Anaheim Ducks Hockey, the U.S. Men’s National Volleyball Team, and the 2012 Olympic Games Silver Medal winning U.S. Women’s National Volleyball Team call the OC home. Orange County embraces vibrant, historic, and diverse neighborhoods, and welcomes millions of visitors per year, truly making it where the world comes to live, work, and play.
    
Click here to learn more about the County of Orange.
  
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 here.
  
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 here.
  
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 and medical terminology with accounting and/or office services procedures 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 federal/state guidelines as they relate to Public Health programs
• Knowledge of federal/state guidelines as they relate to Behavioral Health programs
• 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 here 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 here  (Download PDF reader)(Download PDF reader)to review the policy.
  
Eligible List
Once 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.

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 www.governmentjobs.com.
  
FREQUENTLY ASKED QUESTIONS:
Click here for additional Frequently Asked Questions.

For specific information pertaining to this recruitment, please contact Sam Apraku at 714-834-3116 or at Samuel.Apraku@ac.ocgov.com

Salary : $48,069 - $64,750