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Fqhc Billing Jobs (NOW HIRING)

EDGEWATER HEALTH

Certified Medical Coder

Gary, IN · Remote

$22.50 - $30.75/hr

FQHC billing regulations * Indiana Medicaid policies * Commercial payer guidelines * National Correct Coding Initiative (NCCI) edits * Official ICD-10-CM, CPT, and HCPCS coding guidelines * Adhere to ...

Community Clinic Inc.

Billing Specialist

Silver Spring, MD · On-site

$25 - $30/hr

Experience and/or knowledge of FQHC billing guidelines and procedures preferred. * Solid understanding of billing software and electronic medical record (EMR) systems. * Maintain current knowledge of ...

MEDNORTH HEALTH CENTER

Billing Specialist II

Wilmington, NC · On-site

$18 - $24.25/hr

... FQHC Billing Certified Professional Coder or equivalent experience in years - Medical, Dental and Behavioral health coding experience required PACE CARD Metrics All I/P accounts will be billed within ...

MedNorth Health Center

Billing Specialist II

Wilmington, NC · On-site

$18 - $24.25/hr

... FQHC Billing • Certified Professional Coder or equivalent experience in years - Medical, Dental and Behavioral health coding experience required PACE CARD Metrics • All I/P accounts will be ...

Health & Life Organisation Inc

Biller I

Sacramento, CA · On-site

$26 - $28/hr

... FQHC Billing. The Biller may also be required to perform other clerical and billing duties as assigned by the Billing Manager. ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below you will find ...

HEALTH CARE PARTNERS

Revenue Cycle Manager

Conway, SC · On-site

... billing, payment posting, accounts receivable, and collections while ensuringcompliance with federal, state, payer, and Federally Qualified Health Center(FQHC) regulations. The Revenue Cycle Manager ...

CareSouth Carolina

Coding Specialist

Hartsville, SC · On-site

FQHC billing/coding experience is preferred but not required. * AAPC-certified professional coder is preferred. If not a certified coder, certification is required within 6 months of hire to maintain ...

Addison Group

Billing Specialist

Philadelphia, PA · On-site

$20 - $23/hr

Billing Specialist Location: Philadelphia, PA (Hybrid - 4 days onsite during training, then minimum ... Center (FQHC) Pay: $20.00-$23.00/hour Benefits : The position is eligible for medical, dental ...

Addison Group

Billing Specialist

Philadelphia, PA · On-site

$20 - $23/hr

Billing Specialist Location: Philadelphia, PA (Hybrid - 4 days onsite during training, then minimum ... Center (FQHC) Pay: $20.00-$23.00/hour Benefits : The position is eligible for medical, dental ...

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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.
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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.

AR Follow-Up and Billing Specialist - Part-Time

Outreach Community Health Centers

Milwaukee, WI • On-site

$19 - $25.50/hr

Other

Re-posted 23 days ago

Job description

In order to be considered for this position, candidates must meet the following qualifications:
Education and/or Experience - Required Qualifications

  • High school diploma required, with a minimum of two years of experience in healthcare, billing, and alternate payor reimbursement claims processing.
  • Previous experience with medical terminology and coding is required.
  • Strong professional communication skills, including oral, written, and presentation abilities.
  • Experience with Medicare and Medicaid claims is preferred.
  • Familiarity with insurance processes, managed care, PPOs, FQHC billing, and Milwaukee County systems is highly desirable.
  • Ability to work effectively under pressure and manage multiple priorities.
  • Demonstrated ability to establish and maintain positive working relationships with patients, medical staff, coworkers, and the general public.
  • Proficient in reading, writing, and communicating clearly and effectively in both verbal and written forms.
Job Purpose and Reporting Structure
The primary responsibility of this position is to work directly with insurance companies, healthcare providers, and patients to ensure claims are processed and paid. You will be required to review and appeal all unpaid and denied claims. This position demands an extraordinary level of attention to detail and the ability to multi-task in a high-volume, fast-paced, and exciting environment.
This position will report directly to the Revenue Cycle Supervisor.
Essential Duties and Responsibilities
  • Ensure all claims are submitted with a goal of zero errors.
  • Verify the completeness and accuracy of all claims prior to submission.
  • Accurately post all insurance payments by line item.
  • Follow up timely on insurance claim denials, exceptions, or exclusions.
  • Meet deadlines.
  • Read and interpret insurance explanation of benefits.
  • Utilize monthly aging account receivable reports and/or work queues to follow up on unpaid claims aged over 30 days.
  • Make necessary arrangements for medical records requests and completion of additional information requests from providers and/or insurance companies.
  • Regularly meet with the Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles.
  • Regularly attend monthly staff meetings and continuing educational sessions as required.
  • Perform additional duties as assigned.
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

Considerations & Statement
Outreach Community Health Centers requires employees in certain departments to be fully vaccinated against MMR (Measles, Mumps, Rubella), Varicella (Chickenpox), and Influenza.
Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

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