Remote Healthcare Billing & Reconciliation Analyst

Pacific Health Group; California; Remote; USD 33.000 - 36.000; Vollzeit

Benefits dieser Stelle

PTO

Paid holidays

Volunteer hours

Bereavement leave

Medical benefits

FSA

Disability insurance

401(k)

Professional development

In-person events

Employee discounts

Zusammenfassung

Pacific Health Group is seeking a Billing Analyst to support billing operations for Medicaid and other payers. This remote-CA based role collaborates with care managers, patient coordinators, and finance staff to ensure accurate invoices, coding, and timely reimbursement.

Ideal candidates have 2+ years in medical billing, strong knowledge of ICD-10/CPT, and familiarity with managed care guidelines. The position emphasizes compliance, auditing, and process improvements within a fast-paced

Qualifikationen

• Minimum 2+ years in medical billing or healthcare revenue cycle operations.
• Knowledge of ICD-10, CPT, and healthcare coding systems.
• Familiarity with Medicaid, managed care, and payer guidelines.
• Experience reviewing EOPs/EOBs is preferred.

Aufgaben

• Collaborate with case managers and patient coordinators to document services.
• Maintain organized billing records for compliance and accuracy.
• Prepare and issue invoices to Medicaid and other payers.
• Code diagnoses, treatments, and services in relevant settings.
• Ensure claims comply with payer guidelines and deadlines.
• Reconcile payer reimbursements with submitted claims.
• Stay current on billing regulations and policy updates.
• Provide guidance on billing and coding best practices.

Kenntnisse

Medical billing

Revenue cycle

Billing software

EHR systems

Excel

Tools

Medical billing software

EHR systems

Excel

Word

Outlook

Jobbeschreibung

Pacific Health Group is seeking a Billing Analyst to support billing operations for Medicaid and other payers. This remote-CA based role collaborates with care managers, patient coordinators, and finance staff to ensure accurate invoices, coding, and timely reimbursement.

Ideal candidates have 2+ years in medical billing, strong knowledge of ICD-10/CPT, and familiarity with managed care guidelines. The position emphasizes compliance, auditing, and process improvements within a fast-paced