Medical Billing A/R Specialist: Denials & Claims Expert

Optima Medical Ltd; Scottsdale (AZ); On-site; USD 45,000 - 65,000; Full time

Job summary

Optima Medical, an Arizona-based multi-location medical group, is seeking an Accounts Receivable (A/R) Specialist for medical billing. The role focuses on managing A/R, correcting denied/ rejected claims, and ensuring timely follow-up with insurance carriers.

The ideal candidate has 3–5 years of medical billing experience, strong knowledge of payer guidelines, and proficiency with EHR systems, including eClinicalWorks (eCW).

Qualifications

• 3–5 years of experience in medical billing, denials management, and A/R follow-up.
• Experience with aging A/R and denials resolution strategies.
• Strong understanding of payer guidelines and revenue cycle processes.

Responsibilities

• Follow up on insurance claims to ensure timely payment.
• Review, research, and correct denied or rejected claims; resubmit as necessary.
• Communicate with insurance carriers to resolve claim issues and discrepancies.
• Navigate portals to verify claim status and eligibility; document all activity.

Skills

Medical billing experience

Denials management

A/R follow-up

Analytical skills

Communication

Tools

EHR systems (eCW)

Job description

Optima Medical, an Arizona-based multi-location medical group, is seeking an Accounts Receivable (A/R) Specialist for medical billing. The role focuses on managing A/R, correcting denied/ rejected claims, and ensuring timely follow-up with insurance carriers.

The ideal candidate has 3–5 years of medical billing experience, strong knowledge of payer guidelines, and proficiency with EHR systems, including eClinicalWorks (eCW).