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Night Shift Medical Billing & Coding Jobs in Riverside, CA

Premier Ambulance

Medical Biller

Brea, CA · On-site

$20 - $27.50/hr

... billing and reports based on health plan, payor, or contract requirements. This also involves ... This is an in-office position with day, swing and night shifts available. Essential Functions:

PREMIER AMBULANCE

Medical Biller

Brea, CA · On-site

$20 - $27.50/hr

... billing and reports based on health plan, payor, or contract requirements. This also involves ... This is an in-office position with day, swing and night shifts available. Essential Functions:

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All JobsMedical Billing & Coding JobsNight Shift Medical Billing & Coding JobsNight Shift Medical Billing & Coding Jobs in Riverside, CA

Night Shift Medical Billing Coding information

See Riverside, CA salary details

$14

$22

$30

How much do night shift medical billing & coding jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for night shift medical billing & coding in Riverside, CA is $22.91, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $24.09 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in night shift medical billing & coding?

To thrive as a Night Shift Medical Billing & Coding professional, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and healthcare billing procedures, often supported by relevant certification like CPC or CCS. Expertise in using medical billing software, electronic health records (EHR), and insurance claim submission platforms is typically required. Strong attention to detail, time management, and the ability to work independently are important soft skills, especially during non-traditional hours. These abilities ensure accurate billing and coding, reduce errors, and maintain smooth workflow during overnight shifts when supervision may be limited.

What is a night shift medical billing & coding?

A Night Shift Medical Billing & Coding job involves processing healthcare claims, verifying insurance information, and ensuring accurate medical coding outside regular business hours. Professionals in this role help healthcare facilities manage billing and reimbursements efficiently, often working in hospitals, clinics, or remote settings. Night shifts are essential for handling delayed claims, supporting 24/7 healthcare operations, and meeting insurance deadlines. This role requires knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and billing procedures. Attention to detail and familiarity with industry regulations are crucial for success.

What are some unique challenges faced by night shift medical billing & coding professionals?

Working the night shift in medical billing and coding can pose unique challenges, such as limited immediate access to supervisors or other healthcare department staff for quick clarifications on complex cases. You may need to rely more on your independent judgment and resourcefulness to resolve coding or billing discrepancies. Additionally, adapting to a nocturnal schedule requires good time management and maintaining productivity during hours when others typically rest. However, many professionals appreciate the quieter environment, fewer distractions, and increased focus that night shifts often provide. Successfully managing these challenges can lead to enhanced problem-solving skills and the potential for career advancement into senior or supervisory roles.

What are popular job titles related to Night Shift Medical Billing & Coding jobs in Riverside, CA? For Night Shift Medical Billing & Coding jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Night Shift Medical Billing & Coding jobs in Riverside, CA look for? The top searched job categories for Night Shift Medical Billing & Coding jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Night Shift Medical Billing & Coding jobs? Cities near Riverside, CA with the most Night Shift Medical Billing & Coding job openings:
Night Shift Medical Billing Coding jobs near you
Infographic showing various Night Shift Medical Billing & Coding job openings in Riverside, CA as of August 2026, with employment types broken down into 73% Full Time, 17% Part Time, 6% Contract, and 4% Nights. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $47,648 per year, or $22.9 per hour.

Billing and Credentialing Specialist

Clinivoy LLC

Irvine, CA • On-site

$23 - $28/hr

Full-time

Re-posted 18 days ago

Job description

Profile Summary:
The Billing & Credentialing Specialist is responsible for managing the full revenue cycle for infusion services, including benefits investigation, verification, accurate claim submission, denial resolution, and AR follow-up. This role handles complex buy-and-bill infusion billing, including J-codes, S-codes, NDC crosswalks, biologics, and time-based infusion services.
Additionally, the specialist manages provider credentialing and enrollment with Medicare, Medi-Cal, and commercial payers, ensuring compliance and timely activation. The position supports patients, providers, and internal departments to optimize reimbursement and maintain continuity of care.
Key Accountabilities:
Medical Benefits Billing & Revenue Cycle Management
  1. Verify medical benefits for infusion services, including specialty biologics, IVIG, and injectable therapies.

  1. Complete detailed benefit investigation (BI) for medical benefits, deductible, OOP, copay, and coverage limitations.

  1. Process, correct, and submit claims using CMS-1500 and UB-04 forms for facility and professional billing.

  1. Apply proper coding for infusion services including:

  • J-codes / S-codes

  • NDC conversions & crosswalks

  • Infusion CPT codes (96365-96379, 96401-96417)

  • Modifier accuracy (JW, JG, 59, 25, etc.)

  1. Manage buy-and-bill billing including ASP pricing, wastage documentation, and payer-specific requirements.

  1. Monitor claim status and process secondary or tertiary claims as required.

  1. Perform comprehensive AR collections, including tracking outstanding balances and resolving unpaid or underpaid claims.

  1. Research and resolve claim errors, coding issues, and payer-specific infusion policies.

  1. Manage prior authorization follow-up with the PA team and ensure claims are billed compliant with authorization terms.

  1. Communicate with payers to resolve rejections, eligibility discrepancies, and coverage issues.

Denials, Appeals & Reconsiderations
  1. Review, analyze, and resolve claim denials related to medical necessity, coding, benefit coverage, or documentation.

  1. Prepare and submit appeal packets including clinical justifications, medical records, infusion notes, and prior authorization details.

  1. Draft high-quality appeal letters based on denial category and payer requirements.

  1. Track appeal turnaround times and follow up with payers until resolution.

  1. Coordinate with prescribers to obtain clinical notes, labs, and additional documents required for approvals or appeals.

Provider Credentialing & Payer Enrollments
  1. Complete credentialing and enrollment for providers with Medicare, Medi-Cal, and commercial insurance plans.

  1. Maintain and update CAQH, NPPES, PECOS, and payer portal information.

  1. Initiate and manage re-credentialing processes and track expiring documents.

  1. Maintain an organized, compliant credentialing database.

  1. Communicate with insurers and internal teams to ensure timely activation of provider billing privileges.

Division team/specific Accountabilities:
  1. Communicate with patients to gather information required for benefits verification, billing setup, financial counseling, and to ensure accurate processing of infusion orders and authorizations. Build clear, supportive communication that promotes trust and patient loyalty.

  1. Investigate and verify medical benefits for infusion and specialty biologic services, including deductible, co-pay, out-of-pocket costs, prior authorization requirements, site-of-care restrictions, step therapy, and medical policy guidelines.

  1. Coordinate with manufacturer financial assistance programs, copay foundations, and internal support teams to help eligible patients obtain financial support, copay cards, or patient-assistance funding when appropriate.

  1. Work closely with the Prior Authorization team by providing all required clinical and documentation updates, ensuring timely submission, tracking authorization progress, and maintaining consistent communication with the patient and provider.

  1. Facilitate denial and appeal processes by requesting denial documentation, gathering clinical records, and preparing appeal packets. Compose appeal letters based on denial reason, medical necessity, and the patient's clinical condition.

  1. Conduct regular status checks with insurance companies on pending authorizations, appeals, and claim adjudications. Obtain approval information, document outcomes, and update copay or financial assistance statuses when required.

  1. Identify, track, and escalate service-delaying issues related to prior authorizations, benefit determinations, clinical documentation, or financial assistance gaps to ensure uninterrupted patient therapy and timely infusion scheduling.

  1. Build and maintain effective working relationships with prescriber offices, referral partners, and clinical staff treating assigned disease states. Provide ongoing updates regarding case status, authorizations, and payer requirements.

  1. Complete all required assessments or checklists mandated by manufacturer programs, payer requirements, or internal workflow processes to ensure compliance with program standards.

  1. Review and respond to notifications of patients who require financial assistance, providing them with available program options, community resources, and support to help minimize out-of-pocket burden.

  1. Assist patients with submitting financial assistance applications, including obtaining consent forms, uploading documentation, completing electronic applications, and following up with financial assistance programs to prevent therapy interruptions.

  1. Maintain timely updates on pending or unfilled infusion orders, keeping prescription and authorization statuses current in the system at least every 48 hours or per department protocol.

  1. Ensure that all activities comply with organizational standards, payer guidelines, manufacturer program requirements, and HIPAA. Deliver service in a manner that meets the highest standards of quality, accuracy, and patient care.

Experience:
  • A minimum of 2 years of prior experience in a medical records department or like setting preferred.

  • Prior experience with an Infusion clinic. (preferred)

  • Dealing with third party billers. (preferred)

Behavioral Competencies:
  • Excellent verbal and written communication skills.

  • Excellent interpersonal, negotiation, and conflict resolution skills.

  • Excellent organizational skills and attention to detail.

  • Strong analytical and problem-solving skills.

  • Ability to prioritize tasks and to delegate them when appropriate.

  • Ability to act with integrity, professionalism, and confidentiality.

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