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Accounts Receivable Specialist - Full-Time | Healthcare Revenue Cycle

Full-time

The Staff Pad

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.

Vacancy posted 2 days ago
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