Jobs at Heritage Health Network (Now Hiring) — 8 open

Responsibilities

• Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity.
  

• Conduct first-line quality review on flagged claims; enforce documentation and coding standards.
  

• Monitor payer timely filing windows; ensure no claim expires due to late submission.
  

• Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation.
  

• Drive AR follow-up across the team with focus on 30+ and 90+ day buckets.
  

• Support weekly AR reconciliation, rate validation, and month-end close activities.
  

• Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters.
  

• Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation.
  

• Partner with the Manager on coordinator onboarding and ongoing training.
  

• Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records.
  

Skills Required

• Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute.
  

• Working knowledge of eClinicalWorks (eCW) or comparable EHR.
  

• Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting.
  

• Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs.
  

• Microsoft Excel and Google Workspace for AR, production, and denial reporting.
  

• Proven ability to supervise, coach, and hold staff accountable while maintaining personal production.
  

• Written communication for coaching documentation, denial appeal letters, and payer correspondence.
  

Preferred Qualifications

• Direct experience in ECM, CalAIM, or Community Supports.
  

• Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements.
  

• Experience with capitated PMPM and per-encounter billing models.
  

• Experience reading Power BI or comparable BI dashboards.
  

Competencies

• Team leadership — holds coordinators to production and quality standards; models expectations through direct execution.
  

• Operational discipline — runs the queue, closes the day, owns the week.
  

• Payer fluency — maintains current knowledge of each health plan’s rules and timelines.
  

• Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes.
  

• Execution under pressure — month-end close, payer deadlines, audit requests.
  

• Integrity — will not submit or allow a claim that cannot be supported by documentation.
  

Requirements

Job Requirements

• Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s preferred. Equivalent RCM experience considered.
  

• Experience: Minimum 3 years of current, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred.
  

• Certification (preferred): Revenue cycle or billing credential preferred.
  

• Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable).
  

• Travel: None. Fully remote within California.
  

• Location: California residency preferred.
  

• Compensation & Benefits: Range set by People Team, commensurate with experience. Full benefits included.
  

Benefits

• Medical, dental, and vision insurance
  
• Paid time off + holidays
  
• Competitive pay
  
• Remote work flexibility
  
• Professional growth and development opportunities