Billing Coordinator
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Job Summary
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.
- Bachelors degree in Finance Accounting Healthcare Administration or related field preferred; equivalent experience considered.
- 13 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.
- 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.
Required Skills:
Experience: 13 years of experience in healthcare billing revenue cycle or reconciliation; experience in managed care or capitated environments a plus. Specialty Area: Managed care population health value-based care or similar environments. Certifications / Licenses: None required; CPC CPB or similar certifications are a plus. Strong understanding of managed care revenue models including capitation PMPM and value-based arrangements. Experience working with eClinicalWorks (ECW) or similar EHR/RCM systems. Proficiency with payer portals (IEHP Molina Anthem CalOptima etc.). Strong analytical skills including reconciliation variance analysis and financial reporting. Ability to translate contract language into operational billing and reconciliation processes. Strong organizational skills and attention to detail. Experience with digital health enhanced care models or healthcare startups preferred.
Required Education:
Bachelors degree in Finance Accounting Healthcare Administration or related field preferred; equivalent experience considered.
