Billing Analyst

🕒 December 24, 2025

🏄 California – Remote

🏄 California – Remote

💵 $49.9k - $54.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 56%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Pacific Health Group

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2023

🏥 Healthcare

🧘 Wellness

🌍 Social Impact

Healthcare • Wellness • Social Impact

Pacific Health Group is a community-focused healthcare organization that delivers integrated medical, behavioral health, and social support services to improve the wellbeing of underserved populations. The organization provides enhanced care management for complex needs, behavioral health and substance-use treatment, community health worker outreach, street medicine for people experiencing homelessness, community support services (including housing assistance), and non-ambulatory medical transportation. Pacific Health Group partners with health plans and centers care on whole-person wellness, equity, and access across multiple locations.

📋 Description

• Collaborate with case managers, social workers, and patient coordinators to ensure accurate and complete documentation of care plans, services rendered, and changes in patient condition or level of care • Maintain detailed, organized billing records supporting compliance and accuracy • Prepare, review, and issue invoices and claims to Medicaid and other payers • Assign appropriate medical codes for diagnoses, treatments, and services • Ensure claims comply with payer-specific guidelines and documentation requirements • Manage multiple billing accounts while meeting deadlines • Ensure compliance with consolidated billing requirements • Review EOPs/EOBs to identify and resolve unpaid or denied claims • Investigate claim rejections, prepare appeals, and resubmit claims • Track denial trends and collaborate on accuracy improvements • Monitor accounts receivable and follow up with payers and health plans • Reconcile payer reimbursements with submitted claims • Prepare financial summaries and assist with monthly revenue cycle reports • Stay current on billing regulations, reimbursement policies, and coding guidelines • Adhere to Medicaid, managed care, and federal billing regulations • Provide staff guidance on documentation, billing, and coding best practices • Perform related billing, reporting, and administrative duties as assigned

🎯 Requirements

• Minimum 2+ years of experience in medical billing or healthcare revenue cycle operations, preferably in long-term care, managed care, or Medicaid environments • Over 2 years of experience reviewing and processing EOPs/EOBs • Proven ability to manage multiple priorities and deadlines with accuracy and efficiency • Strong understanding of ICD-10, CPT, and other medical coding systems • Familiarity with Medicaid, managed care, and healthcare reimbursement processes • Knowledge of consolidated billing and payer-specific guidelines • Proficiency in medical billing software, EHR systems, and standard office tools (Excel, Word, Outlook) • Ability to analyze billing discrepancies, identify solutions, and maintain meticulous documentation • Exceptional attention to accuracy, organization, and compliance

🏖️ Benefits

• 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 • Bereavement Leave, including Fur Baby Bereavement • 90% Employer-paid Employee-Only Medical Benefits • Flexible Spending Account (FSA) • Short-Term & Long-Term Disability | AD&D • Employee Assistance Program (EAP) • 401(k) with Company Match • Monthly Stipend • Opportunities for professional development and internal growth • Employee Discounts via Great Work Perks and Perks at Work • Quarterly In-Person Events