Accounts Receivable Specialist - Healthcare Revenue Cycle

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.