Medical Billing Specialist: Denials & Reconciliation Expert

Raincross Medical Group; Riverside (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

Raincross Medical Group in Riverside, CA is seeking a detail-oriented Medical Billing Specialist with at least one year of medical billing experience. You will review denied or rejected claims, follow up on unpaid claims, and prepare billing reports.

Responsibilities include posting payments, conducting billing audits, reconciling accounts, and communicating with insurance companies and staff. The role requires independence, accuracy, and timely deadlines.

Qualifications

• Must have at least 1 year of medical billing experience.
• Experience with denial management, billing reports, and audits.
• Knowledge of CPT and ICD-10 codes, and accounts receivable.
• Strong attention to detail, organization, and follow-through.
• Ability to work independently and meet deadlines.
• Experience with Elation Billing preferred.

Responsibilities

• Review and resolve denied or rejected claims, including corrected claims and appeals.
• Follow up on unpaid claims and outstanding insurance balances.
• Prepare and review billing reports to identify discrepancies and follow-up needs.
• Conduct billing audits to verify accuracy and identify errors.
• Post payments, review adjustments, and reconcile account discrepancies.
• Communicate with insurance companies and office staff to resolve billing issues.
• Maintain accurate records and protect patient confidentiality.

Skills

Medical billing

Denial management

Billing reports

Audits

Insurance billing

CPT codes

ICD-10 codes

Accounts receivable

Attention to detail

Independent work

Tools

Elation Billing

Job description

Raincross Medical Group in Riverside, CA is seeking a detail-oriented Medical Billing Specialist with at least one year of medical billing experience. You will review denied or rejected claims, follow up on unpaid claims, and prepare billing reports.

Responsibilities include posting payments, conducting billing audits, reconciling accounts, and communicating with insurance companies and staff. The role requires independence, accuracy, and timely deadlines.