Job Description

Description We are looking for a skilled Billing/AR Specialist to join our team in Lancaster, California. In this role, you will handle a variety of billing and accounts receivable tasks, ensuring accuracy and efficiency in resolving insurance claims and appeals. The ideal candidate is detail-oriented, proactive, and experienced in managing complex processes related to medical billing and insurance reimbursement. Responsibilities: - Investigate and resolve insurance denials promptly, adhering to contractual deadlines. - Manage both medical necessity appeals and claim appeals with a thorough understanding of their differences. - Track, monitor, document, and resolve appeals from initiation to completion. - Prepare detailed written documentation for appeal submissions and ensure timely responses to insurance requests. - Collaborate with management and healthcare providers to communicate the status, processes, and outcomes of appeals. - Maintain accurate records of appeals, follow-up activities, and outcomes in designated systems while ensuring secure and organized files. - Analyze appeal and grievance correspondences, reaching out to appellants or grievers for additional information when necessary. - Process accounts receivable for insurance claims daily, including correcting and rebilling denied claims. - Perform benefit investigations and work on denied claims to maximize reimbursement for services provided. - Address patient inquiries regarding insurance balances and assist in resolving refund requests or retractions. Requirements - Minimum of 3 years of experience in billing, accounts receivable, or a related field. - Proficiency in accounting software systems, including ADP Financial Services and computerized billing platforms. - Familiarity with EHR systems, Epic Software, and other medical billing applications. - Strong knowledge of ICD-10 and CPT coding practices. - Demonstrated ability to research and appeal denied insurance claims effectively. - Experience in accounts payable (AP) and accounts receivable (AR) functions. - Excellent communication skills, including handling inbound calls professionally. - Detail-oriented with the ability to manage multiple tasks and meet deadlines. Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more. Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .

Job Tags

Permanent employment, Contract work, Temporary work,

Similar Jobs