Medical Billing and Claims Analyst

Salary : $92,626.39 - $112,600.12 Annually

Location : Santa Rosa, CA

Job Type : Full-Time

Job Number : 25 / 02-0826-DHSO

Department : Department of Health Services (DHS)

Opening Date : 02 / 06 / 2025

Closing Date : 2 / 28 / 2025 11 : 59 PM Pacific

Bargaining Unit : 50

Position Information

The Department of Health Services seeks a highly skilled and motivated Medical Billing and Claims Analyst to join their team. Apply today!

Starting salary up to $53.95 / hour ($112,600 / year) and a competitive total compensation package!

The Medical Billing and Claims Analyst monitors and optimizes Behavioral Health medical billing and revenue management processes. In this position, you will provide professional-level expertise in medical billing and claiming, program budgeting, and compliance while leading a team to maximize departmental revenue returns. You will also be the subject matter expert in medical billing and claims, including Current Procedural Terminology (CPT) codes and Department of Health Care Services (DHCS) concepts. Additional responsibilities may include :

• Conducting pre-billing audits, void and replacement adjudications, and managing financial eligibility verifications
• Preparing and submitting medical billing claims in compliance with state regulations
• Implementing systems, procedures, and administrative policies to enhance billing operations
• Analyzing and developing fiscal procedures related to behavioral health billing and claiming
• Ensuring that programs set up in electronic health records are accurate and efficient
• Reviewing and monitoring behavioral health contracts and providing detailed analysis of provider rate adjustments
• Performing detailed reviews and analysis of financial data and developing recommendations for operational improvements

The ideal candidate will possess many of the following :

The Department of Health Services (DHS)

DHS is one of the County's largest and most complex departments. DHS consists of the Administration, Behavioral Health, Public Health, and Homelessness Services Divisions and is driven by its mission to promote, protect, and ensure access to services that support the health, recovery, and well-being of all in Sonoma County. These ideas are the basis for how DHS operates and delivers services :

For more information regarding the department, its programs, services, and partnerships, visit the

What We Offer

Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits

This recruitment is being conducted to fill a Medical Billing and Claims Analyst position in the Department of Health Services. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment. The Civil Service Title for this position is Department Analyst.

APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.

Minimum Qualifications

Experience : Work experience which would provide an opportunity to acquire the knowledge and abilities listed. Normally, one year of full-time professional level staff experience related to general administration, accounting, budgetary analysis, or human resources work including research, analysis, and preparation of written reports and recommendations would provide such an opportunity.

Education : Any combination of course work and training which would provide an opportunity to acquire the knowledge and abilities listed. Normally, academic course work in public administration, business administration, management, accounting, political science, economics, statistics, English composition, psychology or closely related courses would provide such an opportunity.

License : Possession of a valid driver's license at the appropriate level including special endorsements, as required by the State of California, may be required depending upon assignment to perform the essential job functions of the position.

Knowledge, Skills, and Abilities

Working knowledge of : principles and practices of business and public administration as pertinent to area of assignment; principles, practices and political implications of decisions regarding budgeting, fiscal management, human resources and contract management; principles and methods of work planning, staffing analysis and project management; techniques and practices of research methodology, data collection, and analysis; report writing; application and use of basic statistics; the use of electronic information equipment and specific systems as used within the department.

Knowledge of : operations and functions of county government and the structure and function of the assigned department; modern supervisory management and human resources practice; modern office methods and procedures.

Ability to : plan, organize, and conduct research, analysis and statistical studies related to the various aspects of administration, budget and general management matters; collect, compile and analyze qualitative and quantitative data; review and implement changes in work methods, systems and procedures; understand, interpret and explain laws, regulations and policies governing program operations; prepare budgets, grant applications, service contracts and complex narrative and statistical reports; communicate effectively orally and in writing, and present conclusions and recommendations before advisory and policy bodies; establish and maintain effective working relationships with management, employees, clients, and the public in carrying out sound management policies; understand program objectives in relation to departmental goals and procedures; organize and prioritize work assignments; persuade, examine, and project consequences of decisions and / or recommendations; analyze administrative problems and budget requests; use of electronic information equipment and specific systems as used within the department; effectively supervise the work of technical and office support staff.

Selection Procedure & Some Helpful Tips When Applying

Please visit to review more detailed information about the hiring process, including the application process, examination steps, and department selection process.

APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.

Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for a thorough assessment of your qualifications. Responses that state, "See Resume" or "See Application" may be considered insufficient and therefore may not be scored.

The selection procedure will consist of the following examination :

An Application & Supplemental Questionnaire Appraisal Examination (weight 100%) will be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass / not pass); and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Each applicant will be evaluated based on the following criteria :

Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application & Supplemental Questionnaire Appraisal Examination which evaluates the education, training, experience, skills, knowledge, abilities, and other qualifications that you demonstrate in your application and / or response to the supplemental questionnaire. Please be aware that resumes and cover letters are not typically evaluated in the Application & Supplemental Questionnaire Appraisal Examination. Scores may be adjusted based on such factors as the number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates.

ADDITIONAL INFORMATION

A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.

Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer is contingent will be outlined in the conditional job letter. You may also review the to determine the requirements for this position.

HOW TO APPLY

Applications are accepted online at Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted.

The County of Sonoma values diversity and is dedicated to creating a workplace environment that provides individuals with a sense of belonging. We are committed to having a diverse workforce that is representative of the communities we serve. The County is proud to be an Equal Opportunity Employer where all aspects of employment are based on merit, competence, performance, and business need.

HR Analyst : BH

HR Technician : RR

IMPORTANT NOTE : Benefits described herein do not apply to Extra Help positions.

COUNTY OF SONOMA BENEFITS : MANAGEMENT

These are some of the excellent benefits the County offers :

Paid Time Off : Competitive vacation accrual and sick leave accruals; additional management leave annually; 12 paid holidays, and an additional 8 floating holiday hours per year; and may be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment.

Health Plan : Choose from nine health plans (three HMOs, three deductible HMOs, and three HSA-qualifying plans) with a generous County contribution to the premium (the contribution amount varies by bargaining unit). For more information, please see the appropriate MOU.

Retirement : Fully integrated with Social Security. For more information regarding eligibility, retirement contributions, and reciprocity with prior public service, please visit

IRS 457 Plan : Pre-tax employee contribution up to the IRS annual maximum.

Retiree Medical : County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance / benefits.

Student Loan Debt Relief : County employees may be eligible for through the U.S. Department of Education.

Plus excellent dental, vision, disability, life insurance, professional development, and more.

For answers to specific questions regarding the employment process and more details about benefits or retirement, please contact Human Resources at (707) 565-2331. Additional details about benefit and compensation packages can be found in the MOUs located at For specific information about health and welfare benefits including plan options, coverage, and premium amounts go to or, contact the Human Resources' Risk Management-Benefits Office at or (707) 565-2900.

How did you first learn about this opportunity?

Please indicate if you would also be interested in future part-time or extra-help (temporary, intermittent, or seasonal employment) positions should they become available. Check all that apply.

This eligible list may be used for future bilingual (English / Spanish) positions. Please indicate if you are interested in bilingual positions, and your level of proficiency.

For this question and all subsequent questions, please provide sufficient information to allow for a thorough evaluation of your qualifications. Responses to supplemental questions may be scored using specific criteria and may be reviewed by hiring managers.

Please detail your qualifying one or more years of professional-level administration, accounting, budgetary analysis, and / or human resources work experience as well as training and education that demonstrates you meet the minimum qualifications for this position. Be sure to include :

Please describe your experience with medical billing and claiming operations, including your familiarity with Medical billing concepts, CPT codes, and compliance with state regulations. Describe how you have applied this knowledge to improve processes or resolve complex billing issues.

Please provide an example of when you analyzed financial data or developed fiscal procedures. Detail what tools or systems you used, and how your analysis or recommendations impacted the financial operations.

Please describe your experience managing teams, including how you have organized and led projects to meet deadlines. Include how you ensure effective communication and collaboration among team members.

Required Question

Salary : $53,950 - $112,600