Medical AR Specialist: Claims, Appeals & Recovery

Arbour SeniorCare; Riverside (CA); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Challenging and rewarding work

Growth and development opportunities

Competitive compensation

Job summary

Riverside Medical Clinic is seeking a detail-oriented medical billing professional to handle fee-for-service claims and account collections. The role requires knowledge of medical terminology and at least two years in medical billing/collections, with focus on accuracy, denial management, and payer communications.

A stable, patient-centered environment awaits in Riverside, CA. You will work within UHS resources to ensure compliant, timely processing and ongoing professional development

Qualifications

• Knowledge of medical terminology required.
• Two years prior experience in medical billing/collections is REQUIRED.
• Willingness to learn and adapt to payer policies and regulations.

Responsibilities

• Process fee-for-service claims accurately and in a timely manner.
• Review tracer claims and mail out as needed.
• Initiate claim reviews and appeals when required by EOBs.
• Work aging accounts receivable and coordinate with insurers to resolve balances.
• Follow up on denied claims, analyze root causes, and prepare appeals.
• Maintain documentation of all interactions and actions taken.
• Stay updated on billing regulations and payer policies.

Skills

Medical terminology

Billing knowledge

Education

High school diploma or GED

Job description

Riverside Medical Clinic is seeking a detail-oriented medical billing professional to handle fee-for-service claims and account collections. The role requires knowledge of medical terminology and at least two years in medical billing/collections, with focus on accuracy, denial management, and payer communications.

A stable, patient-centered environment awaits in Riverside, CA. You will work within UHS resources to ensure compliant, timely processing and ongoing professional development