Medical Billing Accounts Receivable Specialist

Core responsibilities

• Prepare and submit claims accurately and ensure they are clean and complete before submission.
• Follow up on claims and accounts to secure proper payment.
• Meet daily, monthly, and quarterly collection goals.
• Process assigned accounts efficiently and accurately.
• Analyze EOBs and respond to insurance carriers based on claim adjudication.
• Manage assigned accounts receivable, including denials and appeals.
• Communicate with insurance companies and other parties to resolve open balances.
• Initiate refund requests for supervisor approval.
• Identify and report payer rejection and denial trends.
• Correct billing submissions for denial or zero-payment claims.
• Complete pending account follow-up until accounts are settled.

Qualifications

• High school diploma or GED.
• 2+ years of experience in medical accounts receivable, claims billing, appeals, denial processing, and EDI claim submission.
• Strong data entry skills.
• Experience with EOB analysis, payment adjustments, and medical terminology.
• Knowledge of CPT and HCPCS codes.
• Understanding of AR follow-up, payment reconciliation, and revenue cycle functions.
• Medi-Cal billing experience required.
• Experience with accounts receivable preferred.
• Ability to maintain confidentiality and comply with HIPAA.
• Strong organization, communication, and time management skills.

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance