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Rcm Billing Jobs in Riverside, CA (NOW HIRING)

Medix

Biller

Irvine, CA · On-site

$25 - $27/hr

PBM billing (not major medical) * Work with extremely high volume claims * Claim adjudication ... Home Infusion or Specialty Pharmacy RCM Background - collector, biller, authorizations, pharmacy ...

nimble

Client Success Manager, RCM

Irvine, CA · On-site

Monitors, evaluates, and reports on billing effectiveness/cash flow, and makes recommendations to increase productivity and profitability * Remains current on payment trends and coding, and payer ...

Acacia Health

Revenue Cycle Specialist

Irvine, CA · On-site

$72K - $75K/yr

... billing, claims follow-up, cash posting, denial management, and accounts receivable activities. This position reports to the RCM Manager. This is an in-office position located at Acacia Health ...

Planned Parenthood of Orange and San Bernardino Counties

Be Seen First

Medical Collector

Anaheim, CA · On-site

$52K - $65K/yr

The Revenue Recovery Analyst will support the RCM collection team with training and escalated claim ... A minimum of 5 years of experience as a medical biller/claims follow-up specialist or collections ...

All JobsRcm Billing JobsRcm Billing Jobs in Riverside, CA

Rcm Billing information

See Riverside, CA salary details

$13

$21

$28

How much do rcm billing jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for rcm billing in Riverside, CA is $21.40, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $23.56 per hour, depending on experience, location, and employer.

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

AspectRcm BillingMedical Billing Specialist
CredentialsCertification in medical billing, coding, or related fieldsCertification often preferred, similar credentials
Work EnvironmentHealthcare facilities, billing companies, hospitalsMedical offices, billing companies, healthcare providers
Industry UsageUsed across healthcare revenue cycle managementPrimarily in medical billing and coding roles
Job FocusManaging entire revenue cycle, including billing, collections, and claimsProcessing claims, coding, and billing tasks

While both roles involve billing processes, Rcm Billing encompasses the full revenue cycle management, including claims submission and collections, whereas Medical Billing Specialist focuses mainly on coding and submitting claims. Rcm Billing professionals typically handle a broader scope within healthcare revenue management.

What is RCM billing?

RCM billing, or Revenue Cycle Management billing, refers to the process healthcare organizations use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. It involves managing claims processing, payment, and revenue generation. The primary goal of RCM billing is to ensure healthcare providers are properly reimbursed for their services by efficiently handling insurance claims and patient billing. This process helps reduce errors, improve cash flow, and streamline administrative tasks. Effective RCM billing is crucial for the financial health of medical practices and hospitals.

What are some common challenges faced by professionals in RCM Billing, and how can they be addressed?

Professionals in RCM (Revenue Cycle Management) Billing often encounter challenges such as claim denials, keeping up with changing insurance regulations, and managing high volumes of billing data. Addressing these requires strong attention to detail, continuous training on compliance updates, and effective use of billing software. Collaboration with clinical and administrative staff is also essential to ensure accurate coding and timely follow-up on outstanding claims, which helps maximize reimbursement and minimize delays.

What are the key skills and qualifications needed to thrive as an RCM (Revenue Cycle Management) Billing Specialist, and why are they important?

To thrive as an RCM Billing Specialist, you need a solid understanding of medical billing processes, insurance guidelines, and healthcare regulations, often supported by a degree in healthcare administration or a related field. Familiarity with billing software such as Epic, Cerner, or Meditech, and certifications like Certified Professional Biller (CPB) are highly beneficial. Attention to detail, problem-solving skills, and effective communication set top performers apart in this role. These skills are essential to ensure accurate claims processing, minimize denials, and maintain steady revenue flow for healthcare organizations.
What are popular job titles related to Rcm Billing jobs in Riverside, CA? For Rcm Billing jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Rcm Billing jobs in Riverside, CA look for? The top searched job categories for Rcm Billing jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Rcm Billing jobs? Cities near Riverside, CA with the most Rcm Billing job openings:
Rcm Billing jobs near you
Infographic showing various Rcm Billing job openings in Riverside, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $44,519 per year, or $21.4 per hour.

Supervisor, Revenue Cycle

Heritage Health Network

Riverside, CA • Remote

$52K - $65K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 2 days ago

Job description

The Supervisor, Revenue Cycle oversees day-to-day billing coordinator operations and directly contributes to claim submission, denial resolution, and AR follow-up. Reports to the Manager, Revenue Cycle. Accountable for team-level delivery on clean claim rate, denial management, timely filing, and AR targets. Hands-on, active RCM billing experience is a non-negotiable requirement for this role.

Responsibilities

  • Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity.

  • Conduct first-line quality review on flagged claims; enforce documentation and coding standards.

  • Monitor payer timely filing windows; ensure no claim expires due to late submission.

  • Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation.

  • Drive AR follow-up across the team with focus on 30+ and 90+ day buckets.

  • Support weekly AR reconciliation, rate validation, and month-end close activities.

  • Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters.

  • Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation.

  • Partner with the Manager on coordinator onboarding and ongoing training.

  • Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records.


Skills Required

  • Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute.

  • Working knowledge of eClinicalWorks (eCW) or comparable EHR.

  • Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting.

  • Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs.

  • Microsoft Excel and Google Workspace for AR, production, and denial reporting.

  • Proven ability to supervise, coach, and hold staff accountable while maintaining personal production.

  • Written communication for coaching documentation, denial appeal letters, and payer correspondence.


Preferred Qualifications

  • Direct experience in ECM, CalAIM, or Community Supports.

  • Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements.

  • Experience with capitated PMPM and per-encounter billing models.

  • Experience reading Power BI or comparable BI dashboards.

Competencies

  • Team leadership — holds coordinators to production and quality standards; models expectations through direct execution.

  • Operational discipline — runs the queue, closes the day, owns the week.

  • Payer fluency — maintains current knowledge of each health plan’s rules and timelines.

  • Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes.

  • Execution under pressure — month-end close, payer deadlines, audit requests.

  • Integrity — will not submit or allow a claim that cannot be supported by documentation.




Requirements

Job Requirements

  • Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s preferred. Equivalent RCM experience considered.

  • Experience: Minimum 3 years of current, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred.

  • Certification (preferred): Revenue cycle or billing credential preferred.

  • Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable).

  • Travel: None. Fully remote within California.

  • Location: California residency preferred.

  • Compensation & Benefits: Range set by People Team, commensurate with experience. Full benefits included.



Benefits
  • Medical, dental, and vision insurance
  • Paid time off + holidays
  • Competitive pay
  • Remote work flexibility
  • Professional growth and development opportunities