Medical AR Specialist: Reimbursement & Denial Resolution

Automatic Data Processing, Inc.; Whittier (CA); On-site; USD 52,000 - 75,000; Full time

Job summary

Automatic Data Processing, Inc. seeks an Accounts Receivable Specialist Representative/Collector to support the Finance Department in maximizing reimbursements on payer invoices. You will review invoices, prioritize follow-ups, and coordinate with payers to secure payments.

Strong communication, analytical, and organizational skills are essential. The role requires at least a high school diploma with medical billing/collections experience and familiarity with EOBs and payer portals.

Qualifications

• High School Diploma or equivalent with specialized training in medical billing and/or collections.
• Minimum of 2 years of medical collection experience.
• Medical/Pharmacy terminology experience desired.
• Explanation of Benefits (EOB) experience.
• Payer website experience desired.

Responsibilities

• The Account Receivable Specialist Representative/Collector will work with the Finance Department Manager to collect appropriate reimbursement on assigned payer invoices.
• Duties include and are not limited to the review of assigned invoices to determine the best process to obtain maximum reimbursement for services by prioritizing and perform daily follow-up.
• Communicate well with payers both verbally and in writing.

Skills

Aging reports

Denials & appeals

EOB experience

Payor portals experience

Analytical skills

Communication

Active listening

Organization

Attention to detail

Customer-focused service

Education

High School Diploma or equivalent with specialized training in medical billing and/or collections

Tools

CPR+

Office Ally

Job description

Automatic Data Processing, Inc. seeks an Accounts Receivable Specialist Representative/Collector to support the Finance Department in maximizing reimbursements on payer invoices. You will review invoices, prioritize follow-ups, and coordinate with payers to secure payments.

Strong communication, analytical, and organizational skills are essential. The role requires at least a high school diploma with medical billing/collections experience and familiarity with EOBs and payer portals.