About the role

We are a premier provider dedicated to healing children and young adults, strengthening families, and transforming communities through quality, comprehensive services and advocacy.

The Lead Billing Collection Specialist is responsible for ensuring accurate, timely, and compliant submission of mental and behavioral health claims to the Los Angeles County Department of Mental Health (DMH), Medi-Cal, and third-party payers. This role serves as a subject matter expert in mental and behavioral health billing, supporting revenue integrity through claim review, denial management, reporting, and collaboration with clinical and quality teams.

ESSENTIAL FUNCTIONS:

Manage all aspects of billing and collections for multiple insurance payers, ensuring precise charge entry and prompt claim submission. Maintain solid understanding of mental and behavioral health billing, DMH systems, and third-party requirements. Maintain current understanding of CPT, ICD-10, HCPCS codes, DMH guidelines, and billing rules specific to each payer. Review, verify, and confirm accuracy and completeness of billing records prior to claim submission, ensuring prior authorizations and concurrent reviews. Identify, track, and resolve denied, voided, and unpaid claims through follow-up and appeals. Review, prepare, and submit higher-level appeals with supporting documents. Analyze denial trends and notify leadership of systemic issues or payer patterns. Monitor clearinghouse rejections and billing errors, implement corrective actions to prevent recurrence. Support reduction of outstanding accounts receivable (A/R) and ensure accurate payment postings. Perform data tracking and reconciliation across DMH/IBHIS, Welligent, and related systems. Serve as subject-matter resource for billing questions, complex cases, and workflow improvements. Train, mentor, and onboard new team members. Exhibit strong critical thinking, effective problem-solving abilities, and attention to detail. Exceptional customer service with strong verbal and written communication skills. Ability to manage multiple priorities, meet deadlines, and work independently.

REQUIREMENTS:

3 to 5+ years' experience in Medical Billing. 2+ years of experience in behavioral/mental health billing strongly preferred. Experience supervising or leading a billing team preferred. High School Diploma or equivalent required. Prior experience with Welligent or similar EHR systems preferred.

BENEFITS:

13 Paid Holidays per year including Juneteenth. Earn up to 16 days of paid vacation time, plus 50 hours of paid sick leave annually. 401(k) with no wait period and no vesting schedule, 401(k) matching up to 4%. Medical insurance offering 3 HMO with Kaiser and Health Net, and also a PPO Plan. The Difference Card—employer-funded benefit to help offset out-of-pocket costs. Dental insurance both HMO & PPO options, with 100% employer paid for HMO employee only coverage plan. Vision insurance 100% employer-paid through EyeMed. Life and AD&D insurance 100% employer paid up to two times annual salary. Long Term Disability. Flexible Spending Account for Medical and Dependent Care. Employee Assistance Program. Eligible for Public Service Loan Forgiveness (PSLF).