Job Description
ABOUT PACIFIC HEALTH GROUP
Pacific Health Group (PHG) is a California-based integrated care organization delivering Enhanced Care Management (ECM), Community Supports (CS), and Behavioral Health (BH) services under the CalAIM framework. We serve Medi-Cal members across multiple counties through contracts with managed care plans and county behavioral health systems. Our mission is simple: deliver whole-person care that meets people where they are—and make sure the systems behind that care run as effectively as the care itself.
THE ROLE
We’re looking for a detail-driven Billing Auditor who will own the critical space between service delivery and revenue collection. You’ll make sure that every claim we submit gets paid—correctly and completely. You’ll audit our claims, dig into EOBs and remittance advices, chase down underpayments, and build the systems that keep revenue from slipping through the cracks. This is not a passive paper-pushing role....