Mental Health Billing Analyst

Florence Crittenton Services of Orange County Inc•Fullerton, CA

About The Position

The Mental Health Billing Analyst manages billing operations, claims reconciliation, revenue analysis, and financial reporting for Crittenton's Mental Health programs. The position ensures accurate and timely billing in accordance with Los Angeles County Department of Mental Health (LACDMH), Medi-Cal, CalAIM, and contractual requirements. The Analyst develops billing reports, monitors revenue and utilization trends, identifies reimbursement issues, and recommends improvements to strengthen financial performance. The role also serves as the primary liaison with the agency's Electronic Health Record (EHR) vendor on billing functionality, system improvements, and technical issues, collaborating with Finance, Mental Health, and Quality Assurance to ensure billing accuracy and revenue integrity.

Requirements

  • Minimum of three years of experience in healthcare billing, revenue cycle management, claims analysis, or financial reporting.
  • Knowledge of CalAIM documentation and billing requirements, claim adjudication, denials, and reimbursement processes.
  • Ability to analyze large datasets, identify discrepancies, and develop meaningful billing and revenue reports.
  • Experience analyzing billing data, preparing financial reports, and identifying revenue trends.
  • Experience working with EHR systems, billing interfaces, and electronic claims processing.
  • Strong analytical, organizational, and problem-solving skills, with the ability to communicate financial information clearly.
  • Must successfully clear DOJ and FBI fingerprint checks.
  • Must be cleared by ORR.
  • Must be at least 21 years of age.
  • Valid California driver's license and current auto insurance.

Nice To Haves

  • Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, Health Information Management, or a related field; equivalent relevant experience may be considered.
  • Demonstrated experience with LACDMH billing, Medi-Cal claims processing, and behavioral health reimbursement.
  • Familiarity with Power BI, Tableau, or comparable reporting and visualization platforms.

Responsibilities

  • Manage billing operations and claims reconciliation for Crittenton's Mental Health programs.
  • Conduct revenue analysis and financial reporting.
  • Ensure accurate and timely billing in accordance with LACDMH, Medi-Cal, CalAIM, and contractual requirements.
  • Develop billing reports and monitor revenue and utilization trends.
  • Identify reimbursement issues and recommend improvements to strengthen financial performance.
  • Serve as the primary liaison with the agency's EHR vendor regarding billing functionality, system improvements, and technical issues.
  • Collaborate with Finance, Mental Health, and Quality Assurance to ensure billing accuracy and revenue integrity.
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