Senior Eligibility & Billing Specialist

Western Growers; Irvine (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Western Growers is seeking an Eligibility Specialist II to process enrollment and billing functions using HCPS and other systems, ensuring WGAT and PCMI accounts stay accurate.

You will support clients, resolve discrepancies, and collaborate with internal teams, maintaining HIPAA compliance and delivering excellent service.

This role requires strong attention to detail, experience in health care billing, and ability to handle sensitive information in a fast-paced environment.

Qualifications

• High School diploma or equivalent with 3–5 years accounting/business experience preferred.
• Experience with health care eligibility and billing procedures.
• Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint).
• Knowledge of HIPAA regulations and safeguarding patient data.
• Strong customer service and communication skills.
• Bilingual Spanish is a plus.

Responsibilities

• Process enrollment and billing transactions in HCPS and related systems.
• Respond to client inquiries and resolve eligibility and billing issues.
• Provide accurate cash application and refunds processing as needed.
• Maintain HIPAA compliant workstation and data security.
• Coordinate with internal departments and external vendors.
• Create and document SOPs and participate in process improvements.

Skills

Accounting

Billing procedures

HIPAA knowledge

Microsoft Office

Customer service

Time management

Bilingual Spanish (plus)

Problem-solving

Communication skills

Education

High School diploma or equivalent

Accounting/healthcare administration coursework (preferred)

Tools

HCPS system

Genesys

Job description

Western Growers is seeking an Eligibility Specialist II to process enrollment and billing functions using HCPS and other systems, ensuring WGAT and PCMI accounts stay accurate.

You will support clients, resolve discrepancies, and collaborate with internal teams, maintaining HIPAA compliance and delivering excellent service.

This role requires strong attention to detail, experience in health care billing, and ability to handle sensitive information in a fast-paced environment.