Medical Accounts Receivable Specialist 2

San Diego, CA, United States

The Medical AR Specialist 2 manages complex medical accounts receivable activities with a focus on third‑party payer billing, denial resolution, and appeals processing. The role is responsible for ensuring timely follow‑up on outstanding claims, resolving payer issues, and maximizing collections while maintaining compliance with billing regulations. This position analyzes denial trends and payer performance, investigates rejected claims, collaborates with internal teams and providers, and supports departmental financial goals such as cash collections and DSO. The specialist works independently on complex accounts while escalating advanced appeals and systemic payer issues when needed.

Knowledge

+ Healthcare revenue cycle processes, including billing, claims adjudication, and accounts receivable management
+ Third‑party payer requirements for commercial and government health plan...