Supports healthcare revenue cycle operations through billing, payment posting, eligibility validation, claims follow-up, capitation/PMPM reconciliation, discrepancy resolution, payer audits, reporting, and revenue tracking. Maintains billing workflows in eClinicalWorks and payer portals while collaborating with operations and clinical teams to resolve documentation and eligibility issues. Helps improve billing accuracy and revenue cycle processes.
Billing Coordinator
Requirements
Benefits
Heritage Health Network (HHN) is looking for a Billing Coordinator to support day-to-day revenue cycle operations, including billing, payment posting, reconciliation, eligibility validation, and revenue tracking.
The ideal candidate is detail-oriented, analytical, and experienced in healthcare billing or revenue cycle operations. This role is a great fit for someone who can work independently, solve discrepancies, and thrive in a growing healthcare environment.
- Support billing, payment posting, eligibility validation, encounter tracking, and reconciliation.
- Assist with capitation/PMPM payment reconciliation and validate payer payments and eligibility data.
- Support claims submission, corrections, and follow-up as needed.
- Monitor and identify billing discrepancies, underpayments, denials, and potential revenue leakage.
- Work with Operations and Clinical teams to resolve documentation and eligibility issues affecting revenue.
- Maintain billing workflows and information within eClinicalWorks (ECW) and payer portals.
- Assist with payer audits, reporting, reconciliations, and new payer implementations.
- Identify opportunities to improve revenue cycle processes and accuracy.
Requirements
Qualifications
- Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field preferred; equivalent experience considered.
- 1–3 years of experience in healthcare billing, revenue cycle, or payment reconciliation.
- Experience with healthcare payer portals and/or EHR/RCM systems.
- Strong analytical, organizational, and problem-solving skills.
- Excellent attention to detail and ability to manage multiple priorities independently.
- Experience with capitated/PMPM or managed care models.
- Experience with eClinicalWorks (ECW).
- Familiarity with payer portals such as IEHP, Molina, Anthem, or CalOptima.
- Experience in ECM, population health, or value-based care.
- CPC, CPB, or similar certification.
Benefits
- Medical, dental, and vision insurance
- Paid time off + paid holidays
- Performance bonuses opportunities
- Hybrid work flexibility
- Growth and professional development opportunities
- Meaningful work supporting vulnerable Medi-Cal populations
Heritage Health Network (HHN) is dedicated to providing Enhanced Care Management (ECM) services to the most vulnerable populations in Los Angeles, Riverside, and San Bernardino counties. We focus on delivering person-centered, community-based care management to high-need Medi-Cal members, breaking down traditional healthcare barriers, and ensuring comprehensive, culturally relevant care.
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