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PrideStaff Financial
Accounts Receivables SpecialistPrideStaff Financial • Fresno, CA, United States
Accounts Receivables Specialist

Accounts Receivables Specialist

PrideStaff Financial • Fresno, CA, United States
6 hours ago
Salary
$22.00–$26.00 hourly
Job type
  • Full-time
Job description

Accounts Receivables Specialist - Billing Department

The Accounts Receivable (AR) Specialist supports the financial operations of our high-volume group by managing insurance and patient receivables. This role focuses on timely claim follow-up, payment posting, and collections, ensuring the practice maintains a healthy cash flow. The ideal candidate will have strong knowledge of medical billing processes and hands-on experience using Intergy Practice Management and EPIC EHR systems.

Essential Functions/Responsibilities:

  • Monitor, review, and follow up on outstanding insurance and patient account balances
  • Process and post insurance and patient payments accurately within Intergy Practice Management system
  • Utilize EPIC EHR to review patient charts and ensure proper documentation supports billing
  • Resolve denied or underpaid claims by conducting appeals, adjustments, and resubmissions
  • Prepare and submit written or electronic appeals with appropriate documentation and follow-up
  • Maintain thorough and up-to-date records of all appeals and communications with payers
  • Communicate with insurance carriers for claim status, eligibility, and payment discrepancies
  • Communicate with insurance carriers to resolve underpaid, denied, or delayed claims
  • Generate and analyze AR aging reports to identify priority accounts and escalate issues when necessary
  • Analyze denial codes and EOBs to determine root causes and implement corrective action
  • Collaborate with billing and coding teams to ensure accurate CPT/ICD10 coding and clean claim submission
  • Respond to patient inquiries regarding billing, balances, and payment options professionally and accurately
  • Reconcile payments with Explanation of Benefits (EOBs) and electronic remittance advice (ERA)
  • Track outstanding accounts, review aging reports, and resolve billing discrepancies
  • Call and email customers to secure payments and arrange workable payment plans
  • Match incoming payments to invoices and create reports for management on the status of unpaid accounts
  • Assist clients with disputes, hardship requests, and questions regarding their payments
  • Process credit card payments from patients who call the office, and provide receipts and confirmation as needed. Maintain detailed and accurate documentation of collection activities in patient accounts
  • Stay informed about payer policy updates, coding changes, and cardiology-specific billing requirements
  • Follow HIPAA guidelines to maintain patient confidentiality and privacy

Qualifications:

  • High school diploma or equivalent (required); Associate degree in Accounting, Healthcare Administration, or related field (preferred)
  • Minimum 2 years of AR or medical billing experience in a specialty or cardiology practice
  • Proficiency with Intergy Practice Management software (Greenway)
  • Experience using EPIC EHR for clinical and billing review
  • Solid understanding of insurance billing, denial management, and reimbursement procedures
  • Knowledge of Medicare, Medicaid, and commercial payer guidelines
  • Familiarity with medical terminology, especially in cardiology
  • Excellent organizational, communication, and problem-solving skills
  • Ability to manage multiple tasks and prioritize in a fast-paced environment
  • Demonstrate ability to maintain high level of productivity, time management, organization, attention to detail, documentation skills and ability to resolve conflict in the work place.
  • Able to make decisions using discretion and independent judgment.
  • Able to prioritize and manage time to meet deadlines and time constraints.
  • Pass a criminal background check

Job Type: Full-time

Benefits:

  • 401(k)
  • Health insurance
  • Paid sick time
  • Paid time off

Work Location: In person

Compensation / Pay Rate (Up to): $22.00 - $26.00

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Accounts Receivables Specialist • Fresno, CA, United States

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