At Father Joe’s Villages, high-quality healthcare and supportive services rely on accurate and timely reimbursement. Our Revenue Cycle team ensures services are billed correctly so programs can continue serving people experiencing homelessness, directly supporting compassionate, life-changing care.
This role supports core medical billing and revenue cycle activities focusing on submitting accurate claims, posting payments, and routine follow-up for OCHIN billing and CalAIM services (Enhanced Care Management, Recuperative Care, Community Supports, Detox).
The position requires close collaboration with clinical, administrative, and program teams to support efficient workflows and timely reimbursement.
Key responsibilities include monitoring billing queues daily to ensure submission timelines; preparing and submitting claims; reviewing claims for completeness and accuracy; maintaining documentation in EHR and payer systems; posting payments; performing reconciliation; following up on unpaid or denied claims; contacting payers for status and resolving routine denials; responding to billing inquiries; identifying missing documentation; partnering to resolve billing discrepancies; supporting data tracking and reporting; participating in audits, chart reviews, and compliance activities; maintaining knowledge of billing and coding requirements (CPT, ICD-10, payer guidelines); attending trainings and meetings; and completing required policies and trainings on time.
High school diploma or equivalent; Two years of medical billing or revenue cycle experience; Familiarity with Medi-Cal or Medicaid billing processes; Experience using EHRs and payer portals; Intermediate computer skills (Word, Excel, PowerPoint); Strong attention to detail and data entry accuracy.
Preferred qualifications: Experience billing for CalAIM programs such as Enhanced Care Management, Community Supports, or Recuperative Care; Familiarity with OCHIN Epic or similar community health EHR platforms; Experience with Medi-Cal managed care plans and DHCS portals; Exposure to claim denial trends, root-cause review, or revenue cycle reporting; Experience in Federally Qualified Health Centers, community clinics, or nonprofit healthcare; Bilingual or multilingual skills supporting diverse patient communication.
Comprehensive benefits package including medical, dental, and vision coverage; Retirement plan options; Paid time off and 11 paid holidays; Professional development opportunities; Access to wellness programs and employee assistance resources to support work-life balance.
Location
San Diego, California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago