Medical Billing A/R Specialist – FQHC Experience Required

Medic Management Group

Medical Billing A/R Specialist ensuring timely billing for physician services at Medic Management Group. Focused on managing unpaid claims and maximizing reimbursements in healthcare billing.

Posted 7/28/2026full-timeRemote • Ohio • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing processes, including proficiency in CPT, Modifiers, and ICD-10 codes, as well as A/R follow-up. Capable of managing patient accounts, handling claims submissions, and maintaining confidentiality of patient health information.

Highest-signal resume keywords

Medical Billing ExperienceCPT, Modifiers, ICD-10 KnowledgeA/R Follow-Up ProficiencyBehavioral Health Insurance KnowledgeCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingClaims SubmissionA/R Follow-UpInsurance Payment PostingAppeals PreparationDenial ManagementPatient Account ManagementKnowledge of Medicare and MedicaidUnderstanding of In and Out-of-Network BenefitsFQHC Experience

Soft Skills

Professional CommunicationAbility to Meet DeadlinesMulti-TaskingAttention to DetailAbility to Work Under Pressure

Tools & Technologies

Microsoft OutlookMicrosoft TeamsMicrosoft WordMicrosoft ExcelOffice Equipment Operation

Industry Keywords

Behavioral Health Insurance PoliciesLocal Coverage DeterminationsPatient Health Information (PHI)Claims Edits and RejectionsPatient Accounts Collection

About the role

Key responsibilities & impact

Read and understand explanations of benefits to perform medical billing functions.
Knowledge of CPT, Modifiers, and ICD-10 codes.
Assure all charges are entered within 24-48 hours of receipt from the physicians/providers.
Make necessary changes to patient accounts (address, name, telephone number, and insurance changes, etc.)
Assure all claims are sent electronically on a daily basis.
Review and work claim edits and rejections on a daily basis.
Paper claims are sent on a weekly basis.
Patient statements are sent on a monthly basis or weekly based on volume.
Post all insurance and patient payments within 24-48 hours of receipt (batched by date of receipt and daily balancing is required).
Work all denials at the time of receipt.
Prepare and send appeals.
Begin insurance follow-up at 31 days for claims.
Answer telephone calls regarding all medical billing inquiries.
Submit copies of overpaid accounts to Billing Manager for review.
Work patient AR based on the practice policy.
Send accounts to collection based on practice policy.
Maintain strictest confidentiality of patient private health information (PHI) by disclosing only information requested.
Handle all electronic processes relating to claims submission, remit posting etc.
All practice records received should be scanned to client folders on the company network drives.
Performs additional duties as requested by upper management.

Requirements

What you’ll need

High school graduate or equivalent.
Requires minimum of 5 year experience in medical billing with at least 3 years experience in FQHC's.
Proficiency with A/R follow up required.
Knowledge of medical billing systems.
Knowledge of and experience with working unpaid claims for all insurance payers, Medicare, Medicaid, Bureau of Workers’ Comp.
Advanced knowledge of behavioral health insurance policies and carriers.
Familiar with local coverage determinations.
Understanding of how in and out-of-network benefits work and how customary rates work.
Previous experience in a customer service environment.
Ability to meet deadlines, production goals, and work under pressure.
Ability to read, understand and follow oral and written instructions; able to follow multiple practice policies.
Ability to professionally communicate with patients and co-workers on all medical billing inquiries.
Ability to communicate clearly and concisely using correct grammar, correct spelling and punctuation usage required in notes and emails.
Ability to multi task.
Ability to operate a telephone system.
Knowledge of using Microsoft Products (MS Outlook, MS Teams, Word, Excel software programs).
General knowledge of utilizing office equipment: computer, copier, fax, scanner.

Benefits

Comp & perks

exceptional health benefits
ancillary benefits
401(k) plan with a company match
generous amount of paid time off
seven paid holidays immediately available