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Remote Medical Billing Rcm Jobs in California (NOW HIRING)

Director of Business Intelligence

San Diego, CA · On-site +1

$150K - $155K/yr

... billing, RCM, and operational systems * Partner with IT on vendors, and data providers to ensure ... medical condition, pregnancy, genetic information, sex, sexual orientation, gender identity or ...

Biller/Coder

Healdsburg, CA · On-site +1

$29.33 - $36.06/hr

This position is responsible for recovering costs for medical care by billing patients, insurers ... On-site work is expected at AMC's Healdsburg or Windsor health centers; some remote work may be ...

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Remote Medical Billing Rcm information

What is a remote medical billing RCM specialist?

Remote Medical Billing RCM (Revenue Cycle Management) professionals are specialists who manage and optimize the financial processes involved in healthcare billing from a remote location. Their responsibilities include submitting medical claims to insurance companies, following up on unpaid claims, verifying patient insurance coverage, and ensuring accurate coding and billing. By working remotely, they support healthcare providers in maintaining steady cash flow and compliance with industry regulations. These roles typically require knowledge of medical terminology, billing software, and healthcare regulations such as HIPAA. Remote work allows for flexibility while still providing essential support to healthcare organizations.

What skills and qualifications are needed to thrive as a remote medical billing RCM specialist?

A Remote Medical Billing RCM Specialist needs knowledge of medical billing procedures, coding standards (such as ICD-10, CPT, and HCPCS), and a background in healthcare administration or billing certification. Familiarity with billing software, electronic health records (EHR) systems, and claims management platforms is essential, often supplemented by certifications like Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR). Attention to detail, organization, and strong communication skills help specialists resolve claim issues and interact effectively with patients and payers. These skills ensure accurate claim processing, timely reimbursements, and compliance with regulations—crucial for the financial health of healthcare practices.

What are common challenges faced by remote medical billing RCM specialists, and how can they be addressed?

Remote Medical Billing RCM (Revenue Cycle Management) professionals often encounter challenges such as keeping up with frequent changes in insurance policies, managing claim denials, and maintaining clear communication with healthcare providers and payers. Working remotely can add complexity, as team collaboration and access to sensitive data must be handled securely and efficiently. Staying organized with a robust workflow, leveraging secure billing software, and participating in regular virtual meetings can help address these challenges and ensure effective revenue cycle management.

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

AspectRemote Medical Billing RcmRemote Medical Coding Specialist
Primary RoleManaging billing processes, submitting claims, and ensuring payment collectionReviewing medical records and assigning appropriate codes for billing and documentation
Required CertificationsCPB, CPC, or similar billing certificationsCPC, CCS, or coding certifications
Work EnvironmentRemote or office-based, healthcare or billing companiesRemote or office-based, healthcare providers or coding companies
Industry UsageWidely used in healthcare billing and revenue cycle managementCommon in medical record documentation and coding departments

While both roles are essential in healthcare revenue cycle management, Remote Medical Billing Rcm focuses on submitting claims and collecting payments, whereas Remote Medical Coding Specialist concentrates on accurately coding medical records. They often collaborate but require different certifications and skill sets.

What are the most commonly searched types of Medical Billing Rcm jobs in California?

The most popular types of Medical Billing Rcm jobs in California are:

What cities in California are hiring for Remote Medical Billing Rcm jobs?

Cities in California with the most Remote Medical Billing Rcm job openings:

Infographic showing various Remote Medical Billing Rcm job openings in California as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medical Billing Manager - Compliance Expert

Mercor

San Francisco, CA • Remote

$80/hr

Full-time

Posted 3 days ago

New


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
  • Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
  • Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
  • Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
  • Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
  • Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
  • Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
  • Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
  • Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
  • Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.

Preferred

  • CPC, CCS, CHFP, or CRCR certification.
  • Experience with automated billing platforms and RCM technology implementations.
  • Background in multi-specialty physician group, hospital, or health system billing operations.
  • Familiarity with AI tools and comfort evaluating AI-generated billing content.
  • Experience with payer contract interpretation and billing compliance program management.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.