FQHC Billing Account Manager
OR · Remote
$60K - $65K/yr
Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines ... Vision Insurance * Paid Time Off (PTO)
OR · Remote
$60K - $65K/yr
Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines ... Vision Insurance * Paid Time Off (PTO)
OR · Remote
$60K - $65K/yr
Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines ... Vision Insurance * Paid Time Off (PTO)
Clackamas, OR · On-site
$19.75 - $25.25/hr
Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... insurance company, managed care organization or other health care financial service setting ...
Clackamas, OR · On-site
$19.75 - $25.25/hr
Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... insurance company, managed care organization or other health care financial service setting ...
Monitoring billing performances to ensure optimal reimbursement while adhering to regulations ... Ability to handle protected health information in a manner consistent with the Health Insurance ...
Monitoring billing performances to ensure optimal reimbursement while adhering to regulations ... Ability to handle protected health information in a manner consistent with the Health Insurance ...
This position will support any third party billing staff in areas related to coding or collections ... Valid Oregon driver's license, reliable transportation, safe driving record and insurance coverage ...
This position will support any third party billing staff in areas related to coding or collections ... Valid Oregon driver's license, reliable transportation, safe driving record and insurance coverage ...
This position will support any third party billing staff in areas related to coding or collections ... Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA Requirements: The Coding ...
This position will support any third party billing staff in areas related to coding or collections ... Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA Requirements: The Coding ...
Heppner, OR · On-site
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
Heppner, OR · On-site
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
Heppner, OR · On-site
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
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Heppner, OR · On-site
$21.15 - $30.53/hr
Billing Specialist LOCATION: Heppner, OR FLSA: 1.0 FTE (expectation to work 40 hours per week ... Responsible for submission of claims including medical coding, and follow up with insurance ...
Maintain billing and coding workflows for assigned work queues. * Ensure accuracy, completeness ... life insurance at no cost. * Two generous pension plans. * Up to 200 hours of vacation annually ...
Maintain billing and coding workflows for assigned work queues. * Ensure accuracy, completeness ... life insurance at no cost. * Two generous pension plans. * Up to 200 hours of vacation annually ...
OR · Remote
$28 - $30/hr
RCM Billing Account Manager - Remote Compensation: $28 - $30 per hour Nexus HR is looking for a ... ICD-10 and CPT codes, deductibles, co-insurance, and co-pays, and ability to interpret an EOB
OR · Remote
$28 - $30/hr
RCM Billing Account Manager - Remote Compensation: $28 - $30 per hour Nexus HR is looking for a ... ICD-10 and CPT codes, deductibles, co-insurance, and co-pays, and ability to interpret an EOB
$45.67/hr
... billing perspective: Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient ... insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 ...
$45.67/hr
... billing perspective: Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient ... insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 ...
$19.25 - $26/hr
Codes expenses, verifies and pays invoices, receives and posts receipts, reconciles balances, and ... Order certificates of insurance. * Takes appropriate action with delinquent accounts, and ...
$19.25 - $26/hr
Codes expenses, verifies and pays invoices, receives and posts receipts, reconciles balances, and ... Order certificates of insurance. * Takes appropriate action with delinquent accounts, and ...
Portland, OR · Remote
$20 - $23/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
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Portland, OR · Remote
$20 - $23/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Quick apply
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$22.58 - $28.35/hr
... and insurance carriers. * Support additional revenue cycle projects We would like to hear from people that have: * Minimum of 1-year dental office billing experience , including experience coding ...
Portland, OR · On-site
$22.58 - $28.35/hr
... and insurance carriers. * Support additional revenue cycle projects We would like to hear from people that have: * Minimum of 1-year dental office billing experience , including experience coding ...
Portland, OR · Hybrid
$22.58 - $28.35/hr
... and insurance carriers. * Support additional revenue cycle projects We would like to hear from people that have: * Minimum of 1-year dental office billing experience , including experience coding ...
Portland, OR · Hybrid
$22.58 - $28.35/hr
... and insurance carriers. * Support additional revenue cycle projects We would like to hear from people that have: * Minimum of 1-year dental office billing experience , including experience coding ...
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$20 - $23/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$20 - $23/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Quick apply
Portland, OR · On-site
$20 - $26/hr
Maintain patient accounts by updating personal, financial, and insurance details. * Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with ...
Hillsboro, OR · On-site
$18 - $22/hr
Scheduling appointments, maintaining patient records, billing, coding for insurance * Professionally answering phone calls, responding to emails, ordering supplies, and sorting mail Clinical tasks ...
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Hillsboro, OR · On-site
$18 - $22/hr
Scheduling appointments, maintaining patient records, billing, coding for insurance * Professionally answering phone calls, responding to emails, ordering supplies, and sorting mail Clinical tasks ...
$60K - $65K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 19 days ago
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 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.
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)
Sourced by ZipRecruiter
Recruiting and staffing services
11 - 50 Employees
Sacramento, CA, US
2019