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Rcm Payment Posting Jobs in Oregon (NOW HIRING)

About the Job The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue ... payment posting, and denial resolution * Ensure compliance with HRSA, CMS, and payer-specific ...

FQHC Billing Account Manager

OR · On-site +1

$60K - $65K/yr

About the Job The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue ... payment posting, and denial resolution * Ensure compliance with HRSA, CMS, and payer-specific ...

Epic Denials Management Operator

Portland, OR · Remote

$19 - $25.50/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and ...

Rcm Payment Posting information

What is RCM payment posting?

RCM Payment Posting refers to the process in Revenue Cycle Management (RCM) where payments made by insurance companies and patients are accurately recorded in a healthcare provider’s billing system. This step ensures that all received payments are matched to the correct patient accounts and invoices. Accurate payment posting is crucial for identifying underpayments, denials, or outstanding balances, and it helps streamline the financial workflow in medical billing. It also enables providers to follow up on discrepancies and maintain up-to-date financial records, which are essential for efficient revenue management.

What skills and qualifications are needed for RCM payment posting?

To thrive as an RCM Payment Posting Specialist, you need a solid understanding of medical billing, revenue cycle management, and payment processing, often supported by a high school diploma or associate degree in a related field. Proficiency in healthcare billing software (such as Epic, Cerner, or Meditech) and familiarity with EOBs, ERAs, and HIPAA compliance are essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and efficiency in processing payments and resolving discrepancies. These skills are vital for maintaining financial integrity, reducing claim errors, and supporting the overall revenue flow of healthcare organizations.

What are common challenges in RCM payment posting and how can they be addressed?

One common challenge in RCM Payment Posting is accurately reconciling payments with corresponding claims, especially when dealing with large volumes and multiple payers. Discrepancies in payment amounts, partial payments, or denied claims require thorough attention to detail and strong organizational skills. Collaborating closely with billing and collections teams can help resolve issues more efficiently. Leveraging robust practice management software and staying up-to-date with payer policies are key strategies for minimizing posting errors and streamlining workflows.

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

AspectRcm Payment PostingMedical Billing Specialist
CredentialsKnowledge of payment processing, coding, and insurance claimsKnowledge of coding, billing procedures, and insurance regulations
Work EnvironmentHealthcare facilities, billing companies, revenue cycle management teamsMedical offices, billing companies, healthcare providers
Employer & IndustryHospitals, clinics, revenue cycle management firmsMedical practices, billing services, healthcare organizations

Rcm Payment Posting primarily focuses on processing payments, reconciling accounts, and ensuring accurate revenue capture. Medical Billing Specialists handle the entire billing cycle, including coding, submitting claims, and following up on denials. While both roles require knowledge of insurance and coding, Rcm Payment Posting is more payment-focused, whereas Medical Billing Specialists manage the broader billing process.

Infographic showing various Rcm Payment Posting job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 21% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

FQHC Billing Account Manager

Nexus HR Services

OR • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago


Job description

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)