Healthcare Billing Specialist — Claims & Data Quality

CRF Behavioral Healthcare; San Diego (CA); On-site; USD 34,000 - 36,000; Full time

Benefits offered by this job

PTO (19 days)

Public Service Loan Forgiveness (PSLF)

Paid holidays (12)

Company-paid life insurance

Long-Term Disability

Flexible Spending for health/dental/cc

Employee Assistance Plan

Employee discounts

Growth opportunities

Job summary

Community Research Foundation in San Diego is seeking a Billing Specialist to prepare, review, and submit billing for multiple health plans. This full‑time, non-exempt role requires data review, medical billing, and adherence to contracted timelines with meticulous attention to detail.

You will enter information into EHR systems, follow up on unpaid claims, verify payments, and document outcomes. CRF offers comprehensive benefits, 19 days of PTO, paid holidays, loan repayment assistance, and

Qualifications

• High School/GED diploma with 1+ year of experience with data review, medical billing, health care administration and/or referrals required.
• Experience using Electronic Health Record systems required.
• Professional verbal and written communication skills.
• Excellent attention to detail and accuracy in billing processes.
• Able to demonstrate intermediate level computer skills, specifically with MS Office and Excel.
• Able to learn new software and applications.
• Able to pass criminal/background clearance.

Responsibilities

• Prepare, review, and submit accurate billing using electronic and paper processing within contracted timelines for multiple health plans.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract. Research and appeal denied claims.
• Follow up with insurance companies regarding any discrepancy in payments if necessary.
• Ensure that information about members served, enrollment, disenrollment, eligibility information, outcome data, billing, and other pertinent information is entered accurately into EHR(s) and other documentation platforms within specified time limits.
• Verify monthly service provision requirements are met for payment throughout the month.
• Summary: This position performs a variety of administrative duties including but not limited to billing, data entry, reporting and tracking information for program management.

Skills

Data entry

Billing

MS Office

Excel

Attention to detail

Verbal communication

Written communication

Background clearance

Education

High school diploma

Tools

EHR systems

Billing software

Job description

Community Research Foundation in San Diego is seeking a Billing Specialist to prepare, review, and submit billing for multiple health plans. This full‑time, non-exempt role requires data review, medical billing, and adherence to contracted timelines with meticulous attention to detail.

You will enter information into EHR systems, follow up on unpaid claims, verify payments, and document outcomes. CRF offers comprehensive benefits, 19 days of PTO, paid holidays, loan repayment assistance, and