Billing Coordinator

Riverside, United States

Heritage Health Network (HHN) was born from a vision to bridge the gap in healthcare accessibility, intuitiveness, and responsiveness. Our story is deeply intertwined with the dedication of our founder, a seasoned prosthetist orthotist with over 15 years of experience serving our community. Committed to improving health outcomes, our founder's expertise and deep community ties have been instrumental in shaping HHN's approach and services.

The genesis of HHN was fueled by the need to address the unique challenges faced by Black Americans and individuals with limb loss. Our logo, featuring a bridge, symbolizes our commitment to connecting these communities with comprehensive, empathetic healthcare solutions. It represents our role as a crucial link between medical care and the social determinants of health that are vital for holistic well-being.

With a foundation in Enhanced Care Management (ECM), HHN has evolved into a holistic, person-centered network. We believe in treating the individual, not just the condition, by considering the full spectrum of their life's context. This approach stems from our founder's deep understanding of the intricacies of patient care, honed through years of hands‑on experience. Today, HHN stands as a vibrant embodiment of community-centric healthcare, continually adapting to meet the changing needs of those we serve.

Our journey, marked by resilience, innovation, and unwavering dedication, is a testament to our founder's vision of a healthier, more empowered community. We are proud to continue this legacy, forging new paths towards improved health outcomes and a brighter future for all.

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.

• 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 eClinical
  
  Works (ECW) and payer portals.
• Assist with payer audits, reporting, reconciliations, and new payer implementations.
• Identify opportunities to improve revenue cycle processes and accuracy.

• 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 eClinical
  
  Works (ECW) .
• Familiarity with payer portals such as IEHP, Molina, Anthem, or Cal Optima.
• Experience in ECM, population health, or value‑based care.
• CPC, CPB, or similar certification.
• Medical, dental, and vision insurance
• Paid time off + paid holidays
• Performance bonuses opportunities
• Hybrid work flexibility
• Growth and professional development opportunities

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.