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Fqhc Billing Jobs (NOW HIRING)

Nexus HR

FQHC Billing Account Manager

Santa Fe Springs, CA · On-site

$30 - $34/hr

FQHC Billing Account Manager - Santa Fe Springs, CA Compensation: $30 - $34 per hour Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background ...

Nexus HR Services

FQHC Billing Account Manager

OR · Remote

$60K - $65K/yr

FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in ...

Nexus HR Services

FQHC Billing Account Manager

OR · Remote

$60K - $65K/yr

FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in ...

Nexus HR

FQHC Billing Account Manager

Santa Fe Springs, CA · On-site

$28 - $30/hr

FQHC Billing Account Manager - Santa Fe Springs, CA Compensation: $28 - $30 per hour Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background ...

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Fqhc Billing information

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How much do fqhc billing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for fqhc billing in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What is the difference between Fqhc Billing vs Medical Billing Specialist?

AspectFqhc BillingMedical Billing Specialist
CredentialsKnowledge of FQHC billing regulations, certifications like CPC or CPB beneficialCertifications like CPC, CPC-H, or CPB often required
Work EnvironmentPrimarily in FQHC clinics, healthcare facilities serving underserved populationsVarious healthcare settings including hospitals, clinics, private practices
Employer & IndustryFQHCs, community health centers, government-funded clinicsHospitals, clinics, healthcare providers across multiple specialties

FQHC Billing specialists focus on billing for federally qualified health centers, requiring specific knowledge of FQHC regulations. Medical Billing Specialists have a broader role across healthcare settings, often with similar certifications. While both handle medical claims, FQHC Billing is specialized for FQHCs, whereas Medical Billing Specialists work across diverse healthcare providers.

What are some common challenges faced in FQHC billing roles, and how can they be addressed?

FQHC billing professionals often encounter challenges such as navigating complex reimbursement rules, ensuring compliance with federal and state regulations, and coordinating with multiple payers. Staying updated on changing guidelines for Medicaid, Medicare, and sliding fee scales is crucial. These challenges can be addressed by ongoing training, leveraging specialized billing software, and maintaining close communication with clinical and administrative teams to ensure accurate documentation and timely claim submission.

What are the key skills and qualifications needed to thrive as an FQHC billing specialist, and why are they important?

To thrive as an FQHC Billing Specialist, you need expertise in medical billing and coding, knowledge of FQHC-specific regulations, and familiarity with insurance claims processes, often supported by a certification such as Certified Professional Biller (CPB). Proficiency with electronic health record (EHR) systems, billing software like NextGen or eClinicalWorks, and payer portals is essential. Attention to detail, strong organizational skills, and effective communication distinguish top performers in this role. These skills and qualifications are vital to ensure accurate reimbursement, regulatory compliance, and financial sustainability for Federally Qualified Health Centers.

What is FQHC billing?

FQHC billing refers to the specialized process of billing and coding medical claims for Federally Qualified Health Centers (FQHCs). These centers deliver primary care services to underserved communities and are reimbursed differently than private clinics, often using a Prospective Payment System (PPS) or other alternate payment methods. FQHC billing requires knowledge of specific regulations, encounter rates, and reporting requirements set by Medicare, Medicaid, and other payers. Accurate billing ensures the health center receives appropriate funding and remains compliant with federal and state guidelines.
More about Fqhc Billing jobs
What cities are hiring for Fqhc Billing jobs? Cities with the most Fqhc Billing job openings:
What are the most commonly searched types of Fqhc Billing jobs? The most popular types of Fqhc Billing jobs are:
What states have the most Fqhc Billing jobs? States with the most job openings for Fqhc Billing jobs include:
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Fqhc Billing jobs near you
Infographic showing various Fqhc Billing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $45,672 per year, or $22 per hour.

FQHC Billing Account Manager

Nexus HR Services

Santa Fe Springs, CA • On-site

$28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

FQHC Billing Account Manager - Santa Fe Springs, CA

Compensation: $28.00 per hour

Overview: Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in FQHC medical billing, revenue cycle management, and coding compliance. This role requires deep knowledge of payer regulations and reimbursement models, as well as leadership experience managing billing teams. Strong communication, analytical, and organizational skills are essential for success in this position.

About the Job

The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. The role involves managing assigned accounts, supervising billing teams, and reporting directly to the RCM Division Manager. The schedule is Monday through Friday, 8:30 AM to 4:30 PM Pacific Standard Time, and will work on-site at the client's office as a representative.

Duties and Responsibilities:

  • Oversee end-to-end billing and RCM operations for assigned FQHC accounts

  • Communicate with clients and respond to inquiries within one business day

  • Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing

  • Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection performance

  • Conduct monthly or quarterly business reviews (QBRs) with clients

  • Collaborate with internal billing teams and clearinghouses to ensure accurate claims submission, payment posting, and denial resolution

  • Ensure compliance with HRSA, CMS, and payer-specific billing guidelines

  • Maintain knowledge of state Medicaid programs and managed care plans

  • Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends

  • Lead and manage billing staff, set goals, delegate tasks, monitor performance, and training

  • Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines

  • Develop transition plans for team changes and support onboarding of new clients/projects

Qualifications:

  • Minimum of 3 years of FQHC medical billing experience and 3 years of management experience

  • Associate’s or Bachelor’s degree preferred (or equivalent experience)

  • CPC (Certified Professional Coder) required

  • Strong leadership, client communication, KPI reporting, and RCM process optimization skills

  • Extensive knowledge of FQHC billing regulations, Medicaid/Medicare billing, PPS/APM reimbursement models, HRSA, and CMS guidelines

  • English proficiency required

  • Must be authorized to work in the United States

Benefits:

  • 401(k)

  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • Paid Time Off (PTO)