Billing Analyst

Hours: 36 hours per week. Monday - Thursday, 8:30 am to 5:00 pm and Friday, 9:00 am to 1:00 pm. This is an on-site position and requires in-person attendance to perform the essential functions of the job.

As a Billing Analyst, you will:

• Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County documentation and billing requirements.
• Run reports from the designated electronic health record (EHR) to assist program in complying with County and state documentation and billing requirements, perform data validation, and conduct quality control checks.
• Provide oversight and track all billing and coding corrections to ensure accurate and timely billing for designated program/ program staff.
• Work closely with clinical staff, programs and billing department to resolve billing issues and ensure smooth operations.
• Serve as a Medi-Cal billing expert for CRF program staff. Provide consultation and feedback to program management and direct care staff regarding accurate billing and documentation practices.
• Verify patient insurance eligibility and benefits for Medicare and Medi-Cal.
• Provide updates to management on claim billing status, trends and outstanding errors.
• Maintain a high level of confidentiality.

Benefits:

• 17 days of PTO per year; 12 paid holidays per year
• Monthly contribution of $100 towards qualified student loan debt and access to Public Service Loan Forgiveness Program
• Choice of medical plans, with minimal employee cost/expenses and excellent coverage
• Several dental plan options; vision benefits
• Company-paid life insurance and Long-Term Disability
• Tax-Free Flexible Spending for medical/dental/childcare expenses
• Generous retirement plan contributions
• Employee Assistance Plan
• Employee discount program, including pet insurance plans
• Opportunities for advancement and growth

CRF inspires and mentors the next generation of behavioral health professionals!

Our Central office is in the Mission Bay area. We provide management support services for all of the mental health programs of Community Research Foundation and PERT, Inc. Our Central Office consists of Administration, Human Resources, Accounting, Information Technology, Housing, Real Estate and Facilities, Quality Improvement.

CRF staff members work together to meet the needs of San Diego County's residents who are experiencing mental/behavioral health challenges. We offer a diverse, inclusive workplace that fosters personal growth and development. You will work within a collaborative, supportive team structure, learn new ways to provide optimal supports to your clients and help people change their lives for the better!

If you need assistance completing the application, please send an email to CRFCareers@comresearch.org

We are an Equal Opportunity Employer

Education: High School diploma/GED required. Associates degree (or higher) in health information, Medical Billing, or similar field strongly preferred. Registered Health Information Technician (RHIT) preferred.

Experience: Two years of full-time experience maintaining medical records of clients, preferably in a mental health setting, including one year of experience generating reports, data analysis, auditing, and compliance. OR One year of recent experience and Associate's degree (or higher) in health information, Medical Billing, or similar field.

Additional Qualifications and Skills

• Administrative support experience to include a high level of demonstrated organizational and communication (written and verbal) skills.
• Knowledge of medical terminology used in mental health programs required, as well as terms, concepts, and principles of privacy and confidentiality
• Accurately depict ICD-10, CPT and HCPCS codes for mental health services based on clinical documentation and diagnosis forms.
• Experience with Electronic Health Record (EHR) required
• Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
  
• Able to pass criminal/background clearance

A COVER LETTER WITH SALARY REQUIREMENTS IS REQUIRED WHEN APPLYING FOR THIS POSITION

This position is responsible for auditing clinical documentation and procedures for billing and reporting, and ensuring compliance with federal and state regulations, including HIPAA. The Billing Analyst collaborates closely with clinical and administrative staff to support quality care delivery and data-driven decision-making.