Medical Accounts Receivable Representative (Level Two)

California Medical Business Services, LLC.; Arcadia (CA); Hybrid; USD 28,000 - 37,000; Full time

Benefits offered by this job

PTO and 7 paid holidays

Medical, dental and vision insurance

401(k) plan

Disability and life insurance

Company events

Job summary

Huntington-Hill Imaging Center, managed by California Medical Business Services, LLC, seeks an AR Representative - Level Two to manage client unpaid insurance accounts, interact with insurers and patients, and support multiple practices.

Includes interactions by phone and online, adherence to reimbursement policies, and collaboration with AR team members. On-site majority with potential remote work after introductory period.

Qualifications

• 1+ years in medical billing and collections or completion of accredited medical billing course.
• Experience in an office setting using telephone and computer as primary tools.
• Basic proficiency with Windows PC applications and ability to learn new software.
• Typing speed of at least 40 wpm.
• 10 key skills and basic math skills.
• High School diploma or GED required.

Responsibilities

• Proficient use of CMBS Imagine billing software.
• Resolve insurance denial codes and take appropriate actions.
• Verify claim status for unpaid claims via online tools or phone.
• Complete insurance appeals via website or paper forms when needed.
• Manage an average of 30 accounts per day; track weekly averages.
• Maintain HOLD or re-assignment accountability for accounts.
• Follow up on AR claims over 45 days as per contract.
• Document notes clearly and review prior notes before acting.
• Identify system issues and suggest improvements to management.

Skills

Medical billing

Phone & computer proficiency

Multitasking

Strong communication

Education

High School diploma or GED

Tools

CMBS billing software Imagine

Microsoft Office

Windows OS

Job description

Are you looking for a career opportunity with growth and stability? Do you like working Monday through Friday and have the weekends off?
We welcome you to apply to this exciting career opportunity!
Huntington-Hill Imaging Center (managed by California Medical Business Services, LLC) is dedicated to improving medical practices through the use of innovative technologies, strategic partnerships, and years of industry experience. Our efforts are directed toward providing quality patient care in the Radiology field. Our team consists of Board Certified Radiologists, Medical Administrators, Technologists, Billing and Scheduling staff, and Patient Support staff.

The scheduled shift is:

• Monday-Friday from 7:20am-4:00pm
• Occasional Saturday overtime (as needed)
• There is an opportunity to work remote after successfully passing the introductory period and meeting goals.

Pay Range: $23.50/hour

The A/R Representative - Level Two will have shown proficiency in all previous level requirements and will be able to cover those positions but will transfer their main job responsibility to working client’s unpaid insurance accounts. The position requires contact with insurers and patients by phone and internet for multiple practices and specialties. To be proficient at this level, the representative should show a minimum average of $25,000 brought in monthly as a direct result of their actions taken in the denial and/or Insurance tickler. Accounts Receivable Level Two is also responsible for keeping up with changes in reimbursement policies and communicating with other A/R Team members.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

(This list may not include all of the duties assigned.)

• Proficient application knowledge of CMBS billing software - Imagine
• Understand the multiple insurance denial codes and take appropriate actions to resolve.
• Go online or call to verify claim status on unpaid claims.
• Show proficiency in completing insurance appeal via website or, when unavailable, by paper appeal form.
• Work a minimum of 30 accounts a day average. Averages are figured weekly.
• Have accountability on accounts placed on HOLD or re-assigned.
• Follow up on A/R claims over 45 days (or more depending on insurance contract)
• Enter legible notes and read all prior notes before taking action.
• Identify system issues and bring to management’s attention with possible solutions and/or suggestions.
• Contribute to team goals and work on special projects.

QUALIFICATIONS:

• High School diploma or GED
• 1+ years of experience in medical billing and collections or completion of accredited medical billing course
• Experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
• Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Basic proficiency with Microsoft Office and website navigation
• Typing skills (minimum of 40 words per minute)
• 10 key skills and basic math skills necessary

KNOWLEDGE, SKILLS, ABILITIES:

• Understanding of healthcare claims.
• Strong ability to multitask.
• Knowledge of ICD-10, HCPCS and CPT coding.
• Knowledge of various insurances (HMO, PPO, Medicare, Medi-Cal, and others).
• Knowledge of MS Word, Excel and Outlook.
• Ability to communicate professionally in writing and verbally.

Job-Related Compliance Considerations (Fair Chance Hiring):

The essential functions of this position include responsibilities that may involve:

• Access to sensitive healthcare and business systems, including electronic health records (EHR), billing platforms, and operational databases.
• Handling of data containing protected health information (PHI) and other confidential or proprietary information.
• Responsibility for maintaining data security, system integrity, and compliance with healthcare privacy standards (e.g., HIPAA).
• Collaboration with cross-functional teams, including clinical, billing, and administrative departments, requiring appropriate handling of sensitive operational information.

In accordance with the California Fair Chance Act and applicable local ordinances, CMBS will consider qualified applicants with criminal histories in a manner consistent with applicable law. A background check may be conducted only after a conditional offer of employment has been made. If a background check is conducted, any employment decision based on criminal history will be made following an individualized assessment that considers:

• The nature and gravity of the offense
• The time that has passed since the offense and completion of the sentence
• The nature of the job duties

Applicants will be provided with notice of any potentially disqualifying information and an opportunity to respond, in accordance with applicable law. These considerations are intended to describe the responsibilities of the role and do not create any automatic disqualification criteria.

What Your Work Environment Will Be Like:

The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

• Environment:Work is performed primarily in a standard office environment with extensive public contact and frequent interruptions.
• Physical:Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard; to travel to other locations using various modes of private and commercial transportation; and to verbally communicate to exchange information.
• Vision:See in the normal visual range with or without correction. The office has fluorescent lighting.
• Hearing:Hear in the normal audio range with or without correction.

We offer a supportive environment with opportunities to expand your knowledge, a competitive salary and benefits package which includes:

• Generous Paid Time Off (PTO) and 7 Paid Holidays
• Medical, Dental, and Vision insurance
• Flexible Spending Accounts
• 401(k) Plan
• Short Term Disability Insurance
• Company paid Long Term Disability & Life Insurance
• Sponsored Company Events, and much more!

Who We Are:

CMBS has been in business for more than 30 years (and counting), helping job seekers just like you find great opportunities in the healthcare industry. But CMBS isn't you average company. Our goal is to provide a working environment where our employees may gain knowledge, experience and recognition for their work. We believe our people are our most valuable asset.

Whether it's our monthly celebrations, social events, or employee appreciation events, you'll quickly find out why CMBS is a great place to work!

CMBS is an Equal Opportunity Employer. We bring unique talents together to build something special. That's why we welcome and encourage diversity in the workplace regardless of race, gender, religion, age, sexual orientation, gender identity, disability or veteran status.

Our goal is to be a diverse workforce that is representative of our clients and communities. We strongly encourage women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, people of all ages, and veterans to apply. We are committed to building a team that is inclusive of a variety of backgrounds and perspectives.