Accounts Receivable Specialist - Full-Time | Healthcare Revenue Cycle

The Staff Pad

  • Pomona, California
  • 9 days ago

    Highlights

    Reporting to the Revenue Cycle Operations department, The Accounts Receivable Specialist will be responsible for managing patient accounts, conducting timely follow-up on outstanding balances, analyzing reimbursement activity, and supporting accurate and efficient billing processes. The Staff Pad has partnered with a nonprofit Federally Qualified Health Center (FQHC) in Pomona, CA, to recruit a qualified and experienced Accounts Receivable Specialist to join their Billing Department and play a key role in supporting the organization’s financial operations.

    Numbers & Facts

    LocationPomona, California
    Websitewww.thestaffpad.com

    Description

    The Staff Pad has partnered with a nonprofit Federally Qualified Health Center (FQHC) in Pomona, CA, to recruit a qualified and experienced Accounts Receivable Specialist to join their Billing Department and play a key role in supporting the organization’s financial operations.

    Reporting to the Revenue Cycle Operations department, The Accounts Receivable Specialist will be responsible for managing patient accounts, conducting timely follow-up on outstanding balances, analyzing reimbursement activity, and supporting accurate and efficient billing processes.

    This role will also provide additional administrative support while adhering to established internal control guidelines.

    Schedule: Full-Time | Non-exempt | Monday – Friday | 8:30 AM  - 5:00 PM

    What You’ll Do

    • Review outstanding claims, determine next steps, and request status updates from third-party payers
    • Identify denial trends and report findings to the Billing Supervisor
    • Complete CIFs and appeals and resolve assigned payer denials per payer guidelines
    • Correct billing errors, including misapplied payments, adjustments, and encounter credits
    • Prepare refund requests for management approval
    • Research and resolve payer rejections and denials
    • Track claim edits and errors to support staff education
    • Maintain current provider credentialing records to support accurate, timely claim billing
    • Stay current on industry regulations and communicate relevant updates
    • Maintain required billing records, reports, and files
    • Maintain confidentiality of patient and employee information
    • Support special projects related to billing and revenue cycle operations
    • Conduct onboarding training for support staff to minimize claim rejections
    • Participate in developing billing/UDS training manuals and cross-training
    • Complete all mandatory training requirements
    • Assist with month-end reporting as needed
    • Perform other duties as assigned

    What We Are Looking For

    Qualifications

    • High school diploma or equivalent
    • 3+ years of related experience
    • Working knowledge of medical billing, accounts receivable, collections, rejections, denials, appeals, and billing guidelines
    • Working knowledge of FQHC revenue cycle principles and practices preferred
    • Knowledge of medical terminology, anatomy and physiology, Medicare and Medi-Cal billing guidelines, and Managed Care requirements

    Additional Skills & Attributes

    • Bilingual in English and Spanish preferred
    • Proficiency with Microsoft Office, practice management systems, and EHR platforms
    • Strong communication and organizational skills
    • Ability to follow directions and complete tasks on time
    • Demonstrated respect for diverse populations
    • Flexibility to adapt to changing assignments and schedules

    What You Can Expect

    Benefits

    • 401(k) with Company Match
    • Medical, Dental Vision & Life Insurance
    • Flexible Spending Account (FSA) & Employee Assistance Program (EAP)
    • Paid Time Off (PTO), CME & Sick Time
    • Continuing Education & Retirement Benefits; Tuition Reimbursement

    If you are a detail-oriented healthcare billing professional who takes pride in accurate, timely work and enjoys contributing to a collaborative team, we invite you to apply and bring your expertise to an organization dedicated to serving its community.



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