RCM Billing Account Manager - Remote
Compensation: $28 - $30 per hour
Nexus HR is looking for a Remote RCM Billing Account Manager for a reputable medical staffing company based in California. The ideal candidate should have at least five years of medical billing experience and must have experience billing for physicians.
Experienced in billing for multiple physicians' specialties:
Allergy
Pain Management
Podiatry
Gastroenterology
Cardiology
Psychology/Mental Health
About the Job
The job is for a client, and that job is remote. RCM Billing Account Managers oversee billing and RCM accounts and the team members who work them. They are responsible for reporting back on these accounts to the RCM Manager. They must communicate clearly and effectively with clients, team members, and coworkers.
Duties and Responsibilities:
Communicate with clients to answer all questions, inquiries, and messages within one business day
Meet or communicate regularly with the client
Create monthly reports to share with clients
Management of the team members assigned to accounts
Oversee the entire RCM billing process to ensure all tasks are completed timely and accurately
Communicate with either the client or team any needs, concerns, common denials, coding corrections, etc
Create proactive processes and software setup to streamline the billing process
Create a positive team environment with an open communication culture
Set clear goals for team members
Delegate tasks and set deadlines
Oversee day-to-day operation
Monitor team performance and report on metrics
Motivate team members
Discover training needs and provide training and coaching
Listen to team members’ feedback and resolve any issues or conflicts
Recognize high performance and reward accomplishments
Notify management and create transition plans for any change in team member assignments
Assess new clients/projects, create a kick-off plan, and get approval from RCM Managers
Qualifications:
High School Diploma/GED required
Certified Professional Coder (CPC)
At least three years of recent experience with physician medical billing
At least two years of recent management experience in physician medical billing
Experienced in billing for multiple physicians' specialties:
Allergy
Pain Management
Podiatry
Gastroenterology
Cardiology
Psychology/Mental Health
Knowledge of medical terminology: ICD-10 and CPT codes, deductibles, co-insurance, and co-pays, and ability to interpret an EOB
Strong attention to detail; ability to organize work and perform duties with high accuracy
Basic computer skills: Data entry and Microsoft Excel, Google Drive
Excellent written and verbal communication skills; ability to read, write and interpret information
Benefits:
Dental
Vision
Medical
401k
Paid Leave
Read LessFQHC 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)
Read LessFQHC Billing Account Manager - Santa Fe Springs, CA
Compensation: $30 - $34 per hour
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, and will work on-site at the client's office as a representative.
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)
Read LessFQHC Billing Account Manager - Santa Fe Springs, CA
Compensation: $28 - $30 per hour
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 and will work on-site at the client's office as a representative.
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)
Read Less