Healthcare Billing Specialist: Flexible Hours & Impact

Sacramento Native American Health Center, Inc; Livingston (CA); On-site; USD 33,000 - 39,000; Full time

Job summary

Lumira Healthcare, formerly Livingston Community Health, is seeking a Billing Specialist to handle claims submission, payments, and denials for Medi-Cal, Medicare, and managed care plans at its Livingston, CA site.

Role focuses on accurate billing, HRSA/Medi-Cal compliance, and collaboration with clinical and administrative teams to ensure timely reimbursement and financial sustainability.

Qualifications

• Minimum 1–2 years hands-on medical billing experience in an FQHC or similar healthcare setting.
• Knowledge of CPT, ICD-10, HCPCS, modifier usage and payer billing requirements.
• Knowledge of Medi-Cal, Medicare, managed care and commercial payers.
• Proficient in Microsoft Word, Excel, and practice management systems.
• Must know 10-key by touch.
• HIPAA compliance and confidentiality practices.
• Ability to work extended hours during close-out/reconciliation periods.

Responsibilities

• Prepares, reviews, and submits claims for Medi-Cal, Medicare, and commercial plans.
• Ensures claims comply with HRSA, CMS, and state-specific FQHC billing requirements.
• Applies CPT/HCPCS/ICD-10 codes and modifiers per guidelines.
• Verifies eligibility and required documentation prior to billing.
• Posts payments, adjustments, and denials accurately and timely.
• Reconciles remittance advice to submitted claims.
• Identifies underpayments/overpayments and escalates as needed.
• Processes refunds and credit balances in line with policies.
• Reviews denials and initiates appeals with supporting documents.
• Tracks denial trends and supports process improvements.
• Maintains accurate billing records for audits and reports.
• Maintains confidentiality and HIPAA compliance in all tasks.

Skills

CPT/ICD-10 coding

FQHC PPS/APM

EHR systems

Customer service

10-key by touch

Data entry accuracy

HIPAA compliance

Education

Associate’s degree in Health Information Management or Medical Billing Certification

High school diploma or equivalent

Tools

NextGen

eClinicalWorks

Athena

Job description

Lumira Healthcare, formerly Livingston Community Health, is seeking a Billing Specialist to handle claims submission, payments, and denials for Medi-Cal, Medicare, and managed care plans at its Livingston, CA site.

Role focuses on accurate billing, HRSA/Medi-Cal compliance, and collaboration with clinical and administrative teams to ensure timely reimbursement and financial sustainability.