The Staff Pad has partnered with a nonprofit Federally Qualified Health Center (FQHC) in Pomona, CA, to recruit a qualified and experienced Accounts Receivable Specialist to join their Billing Department and play a key role in supporting the organization’s financial operations.
Reporting to the Revenue Cycle Operations department, The Accounts Receivable Specialist will be responsible for managing patient accounts, conducting timely follow-up on outstanding balances, analyzing reimbursement activity, and supporting accurate and efficient billing processes.
This role will also provide additional administrative support while adhering to established internal control guidelines.
Schedule: Full-Time | Non-exempt | Monday – Friday | 8:30 AM - 5:00 PM
What You’ll Do
- Review outstanding claims, determine next steps, and request status updates from third-party payers
- Identify denial trends and report findings to the Billing Supervisor
- Complete CIFs and appeals and resolve assigned payer denials per payer guidelines
- Correct billing errors, including misapplied payments, adjustments, and encounter credits
- Prepare refund requests for management approval
- Research and resolve payer rejections and denials
- Track claim edits and errors to support staff education
- Maintain current provider credentialing records to support accurate, timely claim billing
- Stay current on industry regulations and communicate relevant updates
- Maintain required billing records, reports, and files
- Maintain confidentiality of patient and employee information
- Support special projects related to billing and revenue cycle operations
- Conduct onboarding training for support staff to minimize claim rejections
- Participate in developing billing/UDS training manuals and cross-training
- Complete all mandatory training requirements
- Assist with month-end reporting as needed
- Perform other duties as assigned
What We Are Looking For
Qualifications
- High school diploma or equivalent
- 3+ years of related experience
- Working knowledge of medical billing, accounts receivable, collections, rejections, denials, appeals, and billing guidelines
- Working knowledge of FQHC revenue cycle principles and practices preferred
- Knowledge of medical terminology, anatomy and physiology, Medicare and Medi-Cal billing guidelines, and Managed Care requirements
Additional Skills & Attributes
- Bilingual in English and Spanish preferred
- Proficiency with Microsoft Office, practice management systems, and EHR platforms
- Strong communication and organizational skills
- Ability to follow directions and complete tasks on time
- Demonstrated respect for diverse populations
- Flexibility to adapt to changing assignments and schedules
What You Can Expect
Benefits
- 401(k) with Company Match
- Medical, Dental Vision & Life Insurance
- Flexible Spending Account (FSA) & Employee Assistance Program (EAP)
- Paid Time Off (PTO), CME & Sick Time
- Continuing Education & Retirement Benefits; Tuition Reimbursement
If you are a detail-oriented healthcare billing professional who takes pride in accurate, timely work and enjoys contributing to a collaborative team, we invite you to apply and bring your expertise to an organization dedicated to serving its community.
Learn more about this Employer on their Career Site
