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5 дней назад

Billing Coordinator (Healthcare)

19 - 21$
Формат работы
hybrid
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Billing Coordinator (Healthcare) (Revenue Cycle): Supporting healthcare billing, payment posting, eligibility validation, claims follow-up, and reconciliation for a community-based care management network with an accent on capitation/PMPM payments, payer data, and revenue accuracy. Focus on identifying discrepancies, resolving denials and documentation issues, maintaining eClinicalWorks and payer portal workflows, and improving revenue cycle processes.

Location: Riverside, California, United States; hybrid work flexibility

Salary: $19–$21 per hour

Company

hirify.global provides person-centered Enhanced Care Management services for vulnerable Medi-Cal populations across Los Angeles, Riverside, and San Bernardino counties.

What you will do

  • Support billing, payment posting, eligibility validation, encounter tracking, and reconciliation.
  • Reconcile capitation/PMPM payments and validate payer payments and eligibility data.
  • Submit, correct, and follow up on claims.
  • Identify billing discrepancies, underpayments, denials, and potential revenue leakage.
  • Coordinate with Operations and Clinical teams to resolve documentation and eligibility issues.
  • Maintain workflows in eClinicalWorks and payer portals while supporting audits, reporting, reconciliations, and payer implementations.

Requirements

  • Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related field preferred; equivalent experience considered.
  • 1–3 years of experience in healthcare billing, revenue cycle operations, or payment reconciliation.
  • Experience with healthcare payer portals and EHR or revenue cycle management systems.
  • Experience with capitation/PMPM or managed care models and eClinicalWorks.
  • Strong analytical, organizational, problem-solving, and prioritization skills with attention to detail.
  • Familiarity with IEHP, Molina, Anthem, or CalOptima payer portals is expected; ECM, population health, value-based care, and CPC or CPB certification are relevant qualifications.

Culture & Benefits

  • Medical, dental, and vision insurance.
  • Paid time off and paid holidays.
  • Performance bonus opportunities.
  • Hybrid work flexibility.
  • Growth and professional development opportunities.
  • Work supporting vulnerable Medi-Cal populations.

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