An Accounts Payable or Receivable Clerk keeps records of accounts and financial transactions, with specific responsibility for Accounts Payable/Receivable. Works for a business or bookkeeping service. Provides information for financial and tax reports completed by an accountant.
Perform active follow-up on out-of-network claims (surgical and E&M) using payer portals and phone contact to ensure timely reimbursement.
Denials & Appeals Management:
Analyze EOBs, identify denial root causes, make necessary claim corrections, and write/submit formal reconsiderations or appeals.
Payment & EOB Analysis:
Evaluate patient responsibility (deductibles, co-pays, co-insurance) and verify accurate application of contractual adjustments and recoupments.
Patient & Payer Communication:
Field patient balance inquiries, establish payment arrangements, and resolve outstanding accounts or refund requests professionally.
Documentation & Compliance:
Maintain meticulous notes within the EMR/practice management system while adhering strictly to HIPAA and relevant compliance regulations.
Department Collaboration:
Coordinate with team members and internal leadership to escalate unresolvable balances or trend billing issues before recommending write-offs. Required Skills Minimum 2+ years of medical billing/AR follow-up experience (hospital or private practice). Strong ability to read, interpret, and troubleshoot EOBs, remittance advice, and insurance denials . Basic proficiency with
ICD-10, CPT
coding , and Usual & Customary Guidelines. Proficiency in Microsoft Office Suite (Word, Excel, Outlook, SharePoint). Solid foundational math, analytical, and problem-solving skills. Responsibilities • We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). • As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
