Accounts Receivable Specialist - Full-Time | Healthcare Revenue Cycle

The Staff Pad•Pomona, CA

14h•Onsite

About The Position

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.

Requirements

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
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

Nice To Haves

Bilingual in English and Spanish preferred

Responsibilities

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