Senior Eligibility & Billing Specialist

Western Growers; Irvine (CA); Vor Ort; USD 48.000 - 76.000; Vollzeit

Zusammenfassung

Western Growers in Irvine, CA is seeking an Eligibility Specialist II to process enrollment and billing functions in WGAT and PCMI systems. You will handle both automated and manual transactions, provide client guidance on eligibility and billing, and resolve discrepancies with a focus on accuracy.

Responsibilities include processing EDI enrollment, researching cash applications, maintaining HIPAA safeguards, meeting cycle times, and documenting SOPs.

Qualifikationen

• High School diploma or equivalent with 3–5 years accounting/business experience.
• Experience with health care eligibility and billing is preferred.
• Strong written and verbal communication skills and attention to detail.

Aufgaben

• Process enrollment and billing transactions for all lines of business.
• Research and resolve cash application and billing discrepancies.
• Maintain HIPAA compliant workstation and protect client data.
• Provide timely customer service via phone and email to clients.
• Create SOPs and pursue process improvements.

Kenntnisse

Time management

Multitasking

Customer service

Ausbildung

High School diploma or equivalent

Tools

Microsoft Office

Jobbeschreibung

Western Growers in Irvine, CA is seeking an Eligibility Specialist II to process enrollment and billing functions in WGAT and PCMI systems. You will handle both automated and manual transactions, provide client guidance on eligibility and billing, and resolve discrepancies with a focus on accuracy.

Responsibilities include processing EDI enrollment, researching cash applications, maintaining HIPAA safeguards, meeting cycle times, and documenting SOPs.