Billing Analyst - Remote CALIFORNIA

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.

Collaborate with case managers to ensure accurate documentation of services. Maintain detailed billing records for compliance and accuracy. Prepare, review, and issue accurate and timely invoices and claims. Assign appropriate medical codes for diagnoses, treatments, and services. Ensure claims comply with payer-specific guidelines and documentation. Manage multiple billing accounts simultaneously. Ensure compliance with consolidated billing requirements. Review EOPs/EOBs to identify and resolve unpaid or denied claims. Investigate reasons for claim rejections, prepare appeals, and resubmit claims. Track denial trends and collaborate with internal teams to improve accuracy. Monitor accounts receivable and follow up with payers for outstanding balances. Reconcile payer reimbursements with submitted claims. Prepare financial summaries and assist with monthly revenue cycle reports. Stay current on changes in billing regulations and coding guidelines. Adhere to all Medicaid, managed care, and federal billing regulations. Provide support and guidance to staff on documentation, billing, and coding best practices. Perform other related billing, reporting, and administrative duties as assigned.