Medical Billing A/R Specialist

Job Summary

Seeking a full-time Medical Billing A/R Specialist with FQHC experience, who will manage timely billing of physician services, ensure efficient processing of unpaid claims, and follow up on denied claims while working fully remote.

Key responsibilities:

• Read and interpret explanations of benefits to perform medical billing functions
• Assure all charges are entered within 24-48 hours and manage claim edits and rejections daily
• Post insurance and patient payments promptly and initiate insurance follow-up for claims over 31 days old

Required qualifications:

• High school graduate or equivalent
• Minimum of 5 years of experience in medical billing, with at least 3 years in FQHCs
• Proficiency with A/R follow-up and knowledge of medical billing systems
• Experience working with unpaid claims for various insurance payers, including Medicare and Medicaid
• Advanced knowledge of behavioral health insurance policies and local coverage determinations