Medical Billing Denials & Accounts Research Specialist

Cypress-Healthcare-Partners; Monterey (CA); On-site; USD 23,000 - 32,000; Full time

Job summary

Cypress-Healthcare-Partners in Monterey, CA seeks a Medical Billing Accounts Research Specialist to research denials, resolve credits, and handle secondary claims. This onsite role collaborates with patients, insurers, and providers to ensure accurate billing and timely appeals.

The ideal candidate has at least two years in medical accounts receivable, a high school diploma, and knowledge of coding basics. Certifications in medical billing are a plus; strong English communication and

Qualifications

• High School Diploma required; 2+ years in medical field/accounts receivable.
• Certifications in Medical Billing and Coding highly desirable.
• Strong English communication and confidentiality required.

Responsibilities

• Research and resolve denials including COB, eligibility, coding, and billing.
• Document actions in the practice management system (PMS).
• Identify denial trends by payer, provider, and code.
• Follow appeal standards to petition denials and for third-party reconsideration.
• Collect outstanding balances and post payments accurately.
• Handle all claim denials per department standards.

Skills

Coding basics

English communication

Confidentiality

Prioritize workload

Independent work

Problem solving

Teamwork

Education

High School Diploma or Equivalent

2+ years medical billing/accounts receivable

Medical billing/coding certifications desirable

Job description

Cypress-Healthcare-Partners in Monterey, CA seeks a Medical Billing Accounts Research Specialist to research denials, resolve credits, and handle secondary claims. This onsite role collaborates with patients, insurers, and providers to ensure accurate billing and timely appeals.

The ideal candidate has at least two years in medical accounts receivable, a high school diploma, and knowledge of coding basics. Certifications in medical billing are a plus; strong English communication and