AR Specialist – Medical Billing & Collections

Universal Health Services; Riverside (CA); On-site; USD 42,000 - 54,000; Full time

Job summary

Universal Health Services in Riverside, CA is seeking a detail-oriented Medical Billing/Collections Specialist to ensure accurate and timely processing of fee-for-service claims and account collections. The role requires meticulous work and adherence to payer guidelines.

Responsibilities include reviewing tracer claims, initiating appeals when needed, and maintaining thorough documentation across claims, denials, and follow-ups with insurers. Knowledge of medical terminology is essential.

Qualifications

• High school diploma or GED required.
• Knowledge of medical terminology required.
• Two years of medical billing/collections experience required.

Responsibilities

• Assist supervisor as requested.
• Review, adjust, and mail tracer claims.
• Initiate claim review and appeals as indicated by benefits.
• Process assigned correspondence and ensure timely handling.
• Follow up with insurers on claim status and reimbursements.
• Analyze denied claims to identify root causes and errors.
• Prepare and submit appeals for denied claims.
• Resubmit corrected claims with documentation and follow up.
• Communicate with insurers and payers to resolve denials.
• Maintain regular follow‑ups to track appeal progress and resolutions.
• Stay informed on billing rules and payer policies.
• Resolve claims with pending responses from payers.
• Track unpaid claims and incomplete documentation.
• Review accounts with no response and gather necessary information.
• Document all interactions and actions taken.
• Maintain professional demeanor and appearance.

Education

High school diploma or GED

Job description

Universal Health Services in Riverside, CA is seeking a detail-oriented Medical Billing/Collections Specialist to ensure accurate and timely processing of fee-for-service claims and account collections. The role requires meticulous work and adherence to payer guidelines.

Responsibilities include reviewing tracer claims, initiating appeals when needed, and maintaining thorough documentation across claims, denials, and follow-ups with insurers. Knowledge of medical terminology is essential.