Billing Coordinator

Socket.dev; Riverside (CA); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Hybrid work flexibility

Growth and professional development

Meaningful work supporting Medi-Cal

Job summary

Heritage Health Network is seeking a Billing Coordinator to support day-to-day revenue cycle operations, including billing, payment posting, reconciliation, eligibility validation, and revenue tracking, in a California setting.

The ideal candidate has 1–3 years in healthcare billing, experience with ECW, and familiarity with payer portals. Bachelor's degree preferred; CPC/CPB certification encouraged. Hybrid work options and growth opportunities are offered.

Qualifications

• Bachelor's degree preferred; equivalent experience considered.
• 1–3 years of healthcare billing, revenue cycle, or payment reconciliation experience.
• Experience with ECW and payer portals (IEHP, Molina, Anthem, CalOptima).
• Capitated/PMPM or managed care models experience.
• CPC, CPB, or similar certification preferred.

Responsibilities

• Support billing, payment posting, eligibility validation, encounter tracking, and reconciliation.
• Assist with capitation/PMPM payment reconciliation and validate payer payments.
• Support claims submission, corrections, and follow-up.
• Monitor billing discrepancies, underpayments, denials, and revenue leakage.
• Collaborate with Operations and Clinical teams to resolve documentation and eligibility issues.
• Maintain billing workflows in ECW and payer portals.
• Assist with payer audits, reporting, reconciliations, and new payer implementations.
• Identify opportunities to improve revenue cycle processes and accuracy.

Skills

Analytical

Detail-oriented

Problem-solving

Multi-tasking

Education

Bachelor's degree in Finance/Accounting/Healthcare Administration

Tools

ECW (eClinicalWorks)

Payer portals

Job description

Billing Coordinator

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.

Key Responsibilities

• 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

About Heritage Health Network

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.