Accounts Receivable/Medical Billing Specialist

5 Mall Annex; Savannah (GA); On-site; USD 42,000 - 64,000; Full time

Job summary

5 Mall Annex is seeking an Accounts Receivable/Medical Billing Specialist to manage the front-end billing and revenue collection for a health center. The role ensures timely reimbursement from Medicaid, Medicare, MCOs, and patients, with emphasis on HRSA compliance and sliding fee scales.

The candidate will oversee daily clinic balancing, charge generation, claims submission, payment posting, and denial management while applying HRSA discounts and maintaining data accuracy in CPT/ICD-10/HCPCS

Qualifications

• 2–3 years of medical billing and accounts receivable experience, preferably in a FQHC or community health setting.
• CPB certification is required or preferred.
• Degree in accounting or business management.
• Proficient with Excel and EHR/Practice Management software (Athenahealth, eClinicalWorks, NextGen).
• Knowledge of CPT, ICD-10, HCPCS codes; Medicaid/Medicare guidelines are a plus.

Responsibilities

• Reconcile daily front-desk cash logs, checks and credit card batches with reports.
• Generate and enter charges monthly and classify revenue by specialty groups.
• Prepare, scrub, and submit clean claims to payers via clearinghouse daily.
• Post ERAs, EOBs, and patient payments to accounts.
• Apply HRSA sliding fee discounts and audit self-pay balances.
• Analyze and resubmit denied claims; file appeals when needed.
• Perform additional finance duties as assigned.

Skills

Medical billing

Accounts receivable

CPB certification

Excel

EHR/Practice Management software

Education

Associate or Bachelor's degree in accounting/business management

Tools

Accounting software

EHR/Practice Management software

Job description

Accounts Receivable/Medical Billing Specialist

The Accounts Receivable (AR) Specialist manages the front-end billing and revenue collection cycle for the health center. This role ensures timely reimbursement from Medicaid, Medicare, managed care organizations (MCOs), commercial insurance, and patients. The ideal candidate must have deep expertise in community health billing, HRSA compliance, sliding fee scales, medical denial management, and self-pay client management.

Primary Responsibilities:

• Daily Clinic Balancing: Reconcile daily front-desk cash logs, checks, and credit card batches against the practice management schedule reports before routing funds to General Accounting in the Financial Solution.
• Generate and enter Charges: On a monthly basis, generate, classify, and enter charges into client accounts. Classify total revenue into specialty groups.
• Claims Management: Prepare, scrub, and electronically submit clean medical, dental, and behavioral health claims to payers via the clearinghouse daily.
• Payment Posting: Post insurance Electronic Remittance Advices (ERAs), Explanation of Benefits (EOBs), and patient payments to patient accounts accurately.
• Sliding Fee Scale Administration: Apply HRSA-compliant sliding fee discounts to patient accounts based on verified family size and income data; audit self-pay patient balances.
• Denial & Appeal Tracking: Analyze, correct, and resubmit rejected or denied claims. File formal appeals with insurance companies to ensure maximum, timely reimbursement.
• Additional Duties: Additional finance duties as assigned

Qualifications:

• Experience: Minimum 2-3 years of medical billing and accounts receivable experience, ideally within an FQHC or community health setting.
• Certification: Associate or bachelor's degree in accounting/business management and a Certified Professional Biller (CPB).
• Software: High comfort level with accounting software and Microsoft Excel, proficiency with major EHR/Practice Management software (e.g., Athenahealth, eClinicalWorks, NextGen).
• Skills: Data accuracy, basic accounting, strong understanding of CPT, ICD-10, and HCPCS codes; knowledge of Medicaid/Medicare guidelines will be an advantage