Senior Medical Billing & AR Specialist - Denials & Appeals

Protouch Staffing; Los Angeles (CA); Presencial; USD 58.000 - 87.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401(k) with match

FSA

Paid holidays

Sick leave

PTO

Descripción de la vacante

Protouch Staffing in Los Angeles, CA, seeks an experienced Medical Billing Specialist to manage AR, follow up on unpaid or denied claims, and ensure timely resolution. The role requires 5+ years of billing experience and strong knowledge of payer requirements.

You will review EOBs, handle denials, and prepare appeals while tracking high-value accounts and documentation. On-site position with full benefits and 401(k) matching.

Formación

• Minimum 5 years of medical office billing and provider collections experience; 7+ years preferred.
• Experience with commercial insurance, Medicare, Medi-Cal/Medicaid, and managed care plans.
• Knowledge of CPT, HCPCS, ICD-10-CM, CMS-1500 claims, modifiers, and payer requirements.
• Experience with claim appeals, denial resolution, and aged AR follow-up.
• Familiarity with payer portals, practice management systems, and Microsoft Office.
• Strong analytical, communication, organizational, and documentation skills.
• High school diploma or equivalent required.

Responsabilidades

• Manage insurance accounts receivable and follow up on unpaid or denied claims.
• Resolve claim denials, underpayments, and rejections.
• Prepare corrected claims, reconsiderations, and appeals.
• Review EOBs/ERAs, denial codes, and payer billing requirements.
• Track aged and high-value accounts through final resolution.
• Document collection activities and identify recurring denial trends.

Conocimientos

Medical billing experience

Communication skills

Analytical skills

Organizational skills

Documentation skills

HIPAA compliance understanding

Educación

High school diploma or equivalent

Herramientas

Payer portals

Practice management systems

Microsoft Office

Descripción del empleo

Protouch Staffing in Los Angeles, CA, seeks an experienced Medical Billing Specialist to manage AR, follow up on unpaid or denied claims, and ensure timely resolution. The role requires 5+ years of billing experience and strong knowledge of payer requirements.

You will review EOBs, handle denials, and prepare appeals while tracking high-value accounts and documentation. On-site position with full benefits and 401(k) matching.