So sorry, this position is no longer available. Please go ahead and submit your application. We may have other positions that would be the perfect fit for you. Alternatively, you may want to apply to one of the following related jobs:

Medical Billing Analyst

fresno, CA 93705

Posted: 02/19/2025 Category: Certified Medical Coder Job Number: 40117 Approx. Rate per Hour (negotiable): 100,000 Branch: Fresno Office Industry: Administrative

Job Description



Hire Up Staffing is seeking a Medical Billing Analyst to ensure the accuracy, integrity, and compliance of billing processes under the CalAIM programs. This role involves reviewing billing discrepancies, identifying recurring patterns, resolving issues to prevent future occurrences, and recommending system and process improvements to enhance operational efficiency and maintain regulatory compliance.

Salary: $80k-$100k
Schedule: M-F 8am-5pm
Direct Hire Opportunity

Key Responsibilities:

  • Billing Error Review and Resolution:
  • Perform thorough evaluations of billing errors and discrepancies within the CalAIM programs.
  • Work closely with billing teams and other departments to identify the root causes of issues and implement timely resolutions.
  • Ensure resolved errors are documented and shared for future reference to prevent recurrence.

  • Identification of Billing Patterns:
  • Investigate recurring billing issues to uncover underlying trends and systemic challenges.
  • Analyze common patterns that contribute to errors and inefficiencies, and recommend corrective actions to address them.
  • Maintain detailed records and generate reports on identified trends for management review and further action.

  • System and Process Improvement:
  • Collaborate with compliance and IT teams to propose system upgrades and improvements that address billing inefficiencies.
  • Recommend workflow enhancements aimed at reducing error rates and improving billing processes.
  • Stay current on updates to CalAIM billing regulations and suggest necessary adjustments to ensure compliance.

  • Training and Staff Support:
  • Provide feedback and training to billing staff on common error patterns and error prevention techniques.
  • Create and distribute helpful resources such as guides, checklists, and materials to promote consistent billing accuracy.

  • Compliance and Reporting:
  • Ensure that all billing activities comply with CalAIM regulations and internal policies.
  • Prepare detailed reports that highlight error trends, resolutions, and recommendations for process improvements.
  • Support audit preparations by ensuring billing accuracy and adherence to regulatory standards.
    Qualifications:
  • Bachelor’s degree in finance, business administration, healthcare administration, or a related field (or equivalent experience).
  • Proven experience in medical billing, quality assurance, or compliance, with preference for experience within Medi-Cal or CalAIM frameworks.
  • Strong analytical skills with the ability to identify trends, root causes, and patterns in billing data.
  • Proficiency in billing software, data analysis tools, and reporting systems.
  • Excellent written and verbal communication skills.
  • Detail-oriented with a proactive approach to problem-solving.
  • Knowledge of Medi-Cal regulations and CalAIM initiatives is highly desirable.

Preferred Skills:
  • Experience with process improvement methodologies such as Six Sigma or Lean.
  • Strong organizational, time-management, and multi-tasking abilities.
  • Ability to collaborate effectively across various departments and teams
Benefit Package:
  • 100% healthcare
  • Two or Three weeks vacation 
  • 13 holidays 
  • 401(k) match up to 3%
  • #Indhp

Additional Information

Partnering with a professional recruiter increases your chances at being exposed to the most competitive positions out there today and helps build your career in the right direction. The recruiters can give you advice on your interviewing, resume tips and help provide feedback on companies that you're applying to on your own. And there's no cost to you!

We look forward to helping you!

Apply Online
Apply with LinkedIn Apply with Facebook Apply with X

Send an email reminder to:

Share This Job:

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About fresno, CA

Ready to embark on an exciting career journey in Fresno, California? Explore our job opportunities in this vibrant city nestled in the heart of the fertile San Joaquin Valley. Fresno offers job seekers a rich tapestry of unique benefits and growth opportunities. Imagine starting your day with a stroll through the stunning Forestiere Underground Gardens, savoring the area's delicious blend of Central Valley cuisine, and catching a show at the iconic Tower Theatre. With its thriving arts scene, proximity to Yosemite National Park, and home to the Fresno State Bulldogs, there's something for everyone in this charming city. Start your career in Fresno today and discover why this region is a hidden gem for aspiring professionals.
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So sorry, this position is no longer available. Please go ahead and submit your application. We may have other positions that would be the perfect fit for you. Alternatively, you may want to apply to one of the following related jobs:

Medical Billing Analyst

fresno, CA 93705

Posted: 02/19/2025 Category: Certified Medical Coder Job Number: 40117 Approx. Rate per Hour (negotiable): 100,000 Branch: Fresno Office Industry: Administrative

Job Description



Hire Up Staffing is seeking a Medical Billing Analyst to ensure the accuracy, integrity, and compliance of billing processes under the CalAIM programs. This role involves reviewing billing discrepancies, identifying recurring patterns, resolving issues to prevent future occurrences, and recommending system and process improvements to enhance operational efficiency and maintain regulatory compliance.

Salary: $80k-$100k
Schedule: M-F 8am-5pm
Direct Hire Opportunity

Key Responsibilities:

  • Billing Error Review and Resolution:
  • Perform thorough evaluations of billing errors and discrepancies within the CalAIM programs.
  • Work closely with billing teams and other departments to identify the root causes of issues and implement timely resolutions.
  • Ensure resolved errors are documented and shared for future reference to prevent recurrence.

  • Identification of Billing Patterns:
  • Investigate recurring billing issues to uncover underlying trends and systemic challenges.
  • Analyze common patterns that contribute to errors and inefficiencies, and recommend corrective actions to address them.
  • Maintain detailed records and generate reports on identified trends for management review and further action.

  • System and Process Improvement:
  • Collaborate with compliance and IT teams to propose system upgrades and improvements that address billing inefficiencies.
  • Recommend workflow enhancements aimed at reducing error rates and improving billing processes.
  • Stay current on updates to CalAIM billing regulations and suggest necessary adjustments to ensure compliance.

  • Training and Staff Support:
  • Provide feedback and training to billing staff on common error patterns and error prevention techniques.
  • Create and distribute helpful resources such as guides, checklists, and materials to promote consistent billing accuracy.

  • Compliance and Reporting:
  • Ensure that all billing activities comply with CalAIM regulations and internal policies.
  • Prepare detailed reports that highlight error trends, resolutions, and recommendations for process improvements.
  • Support audit preparations by ensuring billing accuracy and adherence to regulatory standards.
    Qualifications:
  • Bachelor’s degree in finance, business administration, healthcare administration, or a related field (or equivalent experience).
  • Proven experience in medical billing, quality assurance, or compliance, with preference for experience within Medi-Cal or CalAIM frameworks.
  • Strong analytical skills with the ability to identify trends, root causes, and patterns in billing data.
  • Proficiency in billing software, data analysis tools, and reporting systems.
  • Excellent written and verbal communication skills.
  • Detail-oriented with a proactive approach to problem-solving.
  • Knowledge of Medi-Cal regulations and CalAIM initiatives is highly desirable.

Preferred Skills:
  • Experience with process improvement methodologies such as Six Sigma or Lean.
  • Strong organizational, time-management, and multi-tasking abilities.
  • Ability to collaborate effectively across various departments and teams
Benefit Package:
  • 100% healthcare
  • Two or Three weeks vacation 
  • 13 holidays 
  • 401(k) match up to 3%
  • #Indhp

Additional Information

Partnering with a professional recruiter increases your chances at being exposed to the most competitive positions out there today and helps build your career in the right direction. The recruiters can give you advice on your interviewing, resume tips and help provide feedback on companies that you're applying to on your own. And there's no cost to you!

We look forward to helping you!

Apply Online
Apply with LinkedIn Apply with Facebook Apply with X

Send an email reminder to:

Share This Job:

Related Jobs:

About fresno, CA

Ready to embark on an exciting career journey in Fresno, California? Explore our job opportunities in this vibrant city nestled in the heart of the fertile San Joaquin Valley. Fresno offers job seekers a rich tapestry of unique benefits and growth opportunities. Imagine starting your day with a stroll through the stunning Forestiere Underground Gardens, savoring the area's delicious blend of Central Valley cuisine, and catching a show at the iconic Tower Theatre. With its thriving arts scene, proximity to Yosemite National Park, and home to the Fresno State Bulldogs, there's something for everyone in this charming city. Start your career in Fresno today and discover why this region is a hidden gem for aspiring professionals.