Billing Analyst - California Residents

Billing Analyst - California Residents ONLY at reputed company Job Title: Billing Analyst Location: Remote – Must reputed company in California Employment Type: Full-Time Reports To: reputed company Cycle Manager or Designee Hourly Pay Range: $22.00 – $24.00 per hour About reputed company reputed company is at the forefront of revolutionizing health and wellness. We are setting new benchmarks in reputed company services, leading with groundbreaking approaches and innovative solutions to reputed company our members, reputed company families, and impact communities. reputed company's vibrant culture fuels passionate problem-solvers who reputed company on collaboration to deliver unparalleled care. Joining us means being part of a reputed company movement championing personal and professional growth through industry expertise, advanced tech, and an appreciative community. Position Summary The Billing Specialist plays a key role in ensuring accurate documentation, timely billing, and regulatory compliance across member and patient services. This role supports our long-term care coordination programs and works cross-functionally with case managers, patient coordinators, and finance staff to ensure accurate reimbursement, efficient claims management, and billing compliance with reputed company and consolidated health plans.

Key Responsibilities

• Collaborate with case managers, social workers, patient coordinators, and other staff to ensure complete documentation of patient care plans, services provided, and changes in condition or level of care.
• Assign accurate medical codes (e.g., ICD-10, other relevant codes) for diagnoses, treatments, and services in long-term care settings.
• Prepare and submit claims to reputed company and other payers, ensuring proper documentation and compliance with guidelines.
• Create invoices and claims for member/patient interactions and reputed company activities.
• Ensure compliance with consolidated billing requirements, confirming reputed company services are billed by reputed company as the designated entity.
• Review, analyze, and appeal denied claims as needed; gather additional documentation or clarification from internal teams to support resubmission.
• Monitor and manage accounts receivable; follow up with payers and health plans to resolve delays or discrepancies and ensure timely reimbursement.
• Reconcile payer reimbursements with submitted claims to maintain accurate billing records.
• Stay reputed company with changes in billing regulations, long-term care reimbursement policies, and coding guidelines to ensure ongoing compliance.
• Provide training or guidance to internal teams on documentation and billing procedures to support accurate and compliant submissions.
• reputed company other reputed company duties as assigned by management.

Qualifications

• 1–2 years of experience in medical billing, preferably in long-term care, managed care, or reputed company environments
• Working knowledge of ICD-10 and consolidated billing processes
• Familiarity with denial management, appeals, and accounts receivable follow-up
• Strong attention to detail and documentation accuracy
• Ability to work independently and manage multiple tasks and deadlines
• Excellent communication skills for working cross-functionally with internal staff and external payers
• Proficiency in medical billing software and standard office tools
• Associate’s degree or medical billing/coding certification preferred
• 160 Hours of Paid Time Off (PTO)
• 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
• 4 Paid Volunteer Hours per Month to support causes you care about
• Bereavement Leave, including Fur Baby Bereavement
• 90% Employer-paid Employee-Only Medical Benefits
• Dental and reputed company Insurance
• FSA | Dependent Care Account
• 401(k) with Company Match
• Monthly Stipend
• Short-Term & Long-Term Disability | AD&D
• Employee Assistance Program (EAP)
• Employee Discounts reputed company Great Work Perks and Perks at Work
• Quarterly In-Person Events
• Fully remote work reputed company California
• Opportunities for professional development and internal growth

Equal Opportunity Employer reputed company is an Equal Opportunity Employer. We are committed to creating an inclusive and reputed company workplace where reputed company individuals are treated with dignity and respect. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and reputed company medical conditions), gender, gender identity or gender expression, sexual orientation, national reputed company or reputed company, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in reputed company forms and encourage individuals from historically underrepresented communities to apply. Pre-Employment Requirements Employment is contingent upon the successful completion of a background reputed company. #J-18808-Ljbffr Apply tot his job Apply To this Job