Medical Billing & Revenue Cycle Specialist

• Community Health Clinic (Long Beach
• Hybrid/Flexible) Medix
• 3.7 Long Beach, CA Job Details Full-time $22
• $30 an hour 14 hours ago Qualifications Working with LGBTQ+ individuals HIPAA Cultural competency Health insurance knowledge Health information regulatory compliance Medical claims submission Clinical confidentiality policies Experience working with individuals from underserved communities Full Job Description The Medical Billing & Revenue Cycle Specialist manages and supports the medical billing and revenue cycle functions for the Health Services Department.

This role is essential in building out billing processes from scratch, ensuring timely and accurate claims submission, and optimizing collections to support clinic sustainability. The ideal candidate brings a patient-centered, culturally affirming approach and thrives in an environment serving diverse and marginalized communities. Key Responsibilities Medical Billing & Revenue Cycle Management Submit medical insurance claims accurately and in a timely manner. Review, correct, and resubmit denied or rejected claims. Monitor accounts receivable (A/R) and proactively follow up on unpaid or underpaid claims. Post payments, adjustments, and denials with high precision. Coordinate with healthcare providers and clinical staff to ensure correct documentation and medical coding. Maintain strict adherence to billing regulations, payer guidelines, and internal policies. Generate billing, aging, and revenue cycle reports as requested. Assist with audits, desk reviews, and compliance reporting related to clinic billing. Coding & Documentation Support Review clinical documentation for completeness, accuracy, and compliance. Ensure proper application of CPT codes, ICD-10 codes, and modifiers (including coding for PrEP, PEP, DoxyPEP, and HIV/STI prevention). Analyze billing trends, identify errors or workflow gaps, and propose operational improvements. Maintain accurate, HIPAA-compliant patient billing records and supporting documentation. Systems, Workflow & General Support Utilize practice management and electronic health record (EHR) systems effectively. Establish and refine new billing workflows from the ground up to improve efficiency. Communicate professionally with insurance carriers, clearinghouses, and internal clinic teams. Participate in staff meetings, trainings, and required compliance education. Perform administrative tasks, inventory support, and grant deliverable report generation as assigned.

Qualifications & Requirements Required Qualifications Experience:

2 to 5 years of medical billing experience in a clinic or healthcare setting.

Coding Knowledge:

Strong proficiency in CPT and ICD-10 coding, insurance billing procedures, and claims processing.

Workflow Development:

Demonstrated comfort level establishing billing processes from scratch and implementing new workflows.

Cultural Competency:

Strong empathy and ability to engage respectfully and effectively with marginalized communities (including Black, Brown, Asian, Cambodian, and LGBTQ+ populations).

Compliance:

Clear background check; strict commitment to HIPAA regulations and patient confidentiality. Preferred Qualifications (Bonus Skills)

EHR Systems:

Experience utilizing athenahealth (Athena EHR) .

Specialty Billing:

Knowledge of 340B program billing , mental health billing, or specialty billing for PrEP, PEP, DoxyPEP, and STI prevention.

Environment:

Prior experience working in community health centers, Federally Qualified Health Centers (FQHCs), or nonprofit organizations.

Languages:

Bilingual fluency in Spanish or Khmer/Cambodian .

Key Soft Skills Mission-Driven & Patient:

High empathy with a passion for community health and helping underserved populations.

Resilient:

Able to navigate emotionally charged situations and high-need environments with professional composure.

Collaborative:

Exceptional communication skills with a strong team-player mindset.

Position Perks & Selling Points Impactful Work:

Direct opportunity to serve marginalized communities and drive health equity.

Department Building:

Unique chance to serve as the subject matter expert in building out a newly formed department.

Work-Life Balance:

Generous schedule flexibility after training to help beat local traffic, along with potential hybrid work arrangements.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.