Specialty Medical Billing & AR Specialist

The Specialty Alliance; Glendale (AZ); On-site; USD 42,000 - 65,000; Full time

Job summary

The Specialty Alliance, based in Glendale, AZ, is seeking an experienced Medical Billing & AR Specialist to join its on-site team. The role focuses on managing AR, submitting clean claims to commercial and government payers, and resolving denials and variances in a fast-paced specialty practice environment.

The ideal candidate will have 3+ years in healthcare billing, strong payer reimbursement knowledge, and proficiency with Microsoft Office.

Qualifications

• Minimum of 3 years of healthcare billing, accounts receivable, or medical reimbursement experience.
• Strong understanding of commercial and government payer reimbursement methodologies.
• Proficiency with Microsoft Office, including Excel, Outlook, and Word.
• High School Diploma or GED.

Responsibilities

• Manage assigned accounts receivable inventory and follow established work queue priorities.
• Submit clean, accurate claims to commercial and government payers.
• Investigate, analyze, and resolve unpaid claims, denials, underpayments, and payment variances.
• Identify reimbursement trends and recommend opportunities to improve collection performance.
• Communicate with insurance carriers, patients, and internal departments to facilitate timely claim resolution.
• Correct claim edits and billing errors to ensure first-pass claim accuracy.
• Maintain accurate patient demographics, insurance information, and account balances.
• Process appropriate account adjustments in accordance with organizational policies.
• Collaborate with coding, clinical, and revenue cycle leadership to resolve complex reimbursement issues.
• Maintain compliance with HIPAA, CMS regulations, payer guidelines, and organizational policies.
• Consistently meet productivity, quality, and aging performance expectations.

Skills

Healthcare billing

Payer reimbursement knowledge

Education

High School Diploma or GED

Tools

Microsoft Office Suite (Excel, Outlook, Word)

Centricity or similar PMS

Job description

The Specialty Alliance, based in Glendale, AZ, is seeking an experienced Medical Billing & AR Specialist to join its on-site team. The role focuses on managing AR, submitting clean claims to commercial and government payers, and resolving denials and variances in a fast-paced specialty practice environment.

The ideal candidate will have 3+ years in healthcare billing, strong payer reimbursement knowledge, and proficiency with Microsoft Office.