Responsibilities

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

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

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

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

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

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

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

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

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  Partner with the Manager on coordinator onboarding and ongoing training.

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

Skills Required

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

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  Working knowledge of eClinicalWorks (eCW) or comparable EHR.

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

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

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

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

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

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Preferred Qualifications

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  Direct experience in ECM, CalAIM, or Community Supports.

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

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  Experience with capitated PMPM and per-encounter billing models.

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  Experience reading Power BI or comparable BI dashboards.

Competencies

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

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

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

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

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

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

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Requirements

Job Requirements

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

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  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.

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

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

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  Travel: None. Fully remote within California.

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  Location: California residency preferred.

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

Benefits

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