Medical/ Dental Accounts Receivable Specialist

Job Description

Desierto Revenue Cycle is seeking an experienced, detail-oriented, and highly motivated Medical Accounts Receivable (A/R) Specialist to join our revenue cycle management team.

The ideal candidate will have a strong background in medical and dental billing, insurance collections, denial management, and accounts receivable follow-up. We are looking for someone who understands the complete medical and dental billing cycle and can independently research, resolve, and collect outstanding insurance claims.

This position requires an individual who is organized, productive, and capable of managing a high volume of accounts while maintaining accuracy and meeting departmental goals.

Key Responsibilities

Accounts Receivable & Insurance Follow-Up

• Review and manage outstanding insurance claims and A/R aging reports.
• Follow up with insurance companies regarding unpaid, denied, underpaid, or delayed claims.
• Investigate and resolve claim denials, rejections, and payment discrepancies.
• Contact insurance companies to obtain claim status, payment information, and denial explanations.
• Identify claims requiring corrections, reconsiderations, or formal appeals.
• Submit corrected claims and appeals within insurance filing deadlines.
• Monitor outstanding balances and prioritize accounts based on aging and timely filing requirements.
• Document all insurance follow-up activity accurately in the practice management system.
• Work toward reducing outstanding A/R balances and improving collection performance.

Medical Billing & Claims Management

• Review claims for billing accuracy, correct coding, and required documentation.
• Identify errors involving CPT, ICD-10, HCPCS codes, modifiers, and insurance information.
• Research insurance reimbursement discrepancies and underpayments.
• Review explanations of benefits (EOBs) and electronic remittance advice (ERAs).
• Coordinate with billing and coding staff to resolve claim issues.
• Assist with insurance payment reconciliation and account adjustments.
• Identify recurring billing issues and recommend improvements to prevent future denials.

Reporting & Productivity

• Maintain accurate records of accounts worked, claims resolved, and payments recovered.
• Provide daily or weekly productivity updates as requested.
• Meet established A/R follow-up and collection goals.
• Identify trends in denials, outstanding claims, and reimbursement issues.
• Communicate unresolved account issues to management in a timely manner.
• Demonstrate consistent follow-through and accountability for assigned accounts.

Qualifications

Required:

• Minimum of 2 years of experience in medical and dental accounts receivable, insurance follow-up, or medical billing.
• Strong knowledge of the medical revenue cycle and insurance claims processing.
• Experience working denied, rejected, and outstanding insurance claims.
• Understanding of CPT, ICD-10, HCPCS codes, and medical billing terminology.
• Experience reviewing A/R aging reports and resolving outstanding balances.
• Familiarity with commercial insurance, Medicare, and Medicaid billing.
• Ability to interpret EOBs, ERAs, and insurance payment information.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication skills when working with insurance representatives and internal departments.
• Ability to work independently, manage assigned accounts, and meet productivity expectations.
• Strong attention to detail and commitment to accuracy.

Preferred:

• Experience with eClinicalWorks (eCW) and eBO reporting.
• Previous experience in oral and maxillofacial surgery or specialty medical billing.
• Knowledge of medical and dental insurance billing.
• Experience with insurance appeals, reconsiderations, and reimbursement disputes.
• Familiarity with insurance fee schedules, contractual adjustments, and underpayment identification.
• Medical billing or coding certification.
• Dental billing or coding certification.
• Bilingual in English and Spanish.

Ideal Candidate

We are looking for someone who:

• Is experienced in managing A/R accounts from initial follow-up through final resolution.
• Understands how to identify why a claim has not been paid and takes the necessary steps to resolve it.
• Is comfortable making insurance follow-up calls and working through complex claim issues.
• Can manage a high volume of accounts without sacrificing accuracy.
• Takes initiative and does not require constant supervision.
• Demonstrates strong productivity, accountability, and time management.
• Understands the importance of reducing aging balances and maximizing collections.
• Works collaboratively with billing, coding, and payment posting teams.

What We Offer

• Full-time employment.
• Professional and collaborative work environment.
• Opportunities to expand knowledge in medical billing and revenue cycle management.
• Hands-on experience with specialty medical billing and insurance reimbursement.
• Opportunities for professional growth based on performance and experience.

How to Apply

Interested applicants should submit an updated resume detailing their experience in medical accounts receivable, insurance follow-up, denial management, and medical billing.

Applicants must have previous medical billing or A/R experience. This is not an entry-level position.

Desierto Revenue Cycle is an equal opportunity employer.

Pay: $14.00 - $20.00 per hour

Expected hours: 40.0 per week

Benefits:

• Dental insurance
• Health insurance
• Paid time off

Work Location: In person

Salary : $14 - $20