5 дней назад
Billing Coordinator (Healthcare)
19 - 21$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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