Medical Billing A/R Specialist (31952)

About The Specialty Alliance

The Specialty Alliance is a leading, multi-specialty physician organization dedicated to delivering exceptional patient care through highly specialized clinical programs and operational excellence. Our organization is home to nationally recognized Urology and Radiation Oncology service lines, supported by an advanced Revenue Cycle Management team focused on quality, compliance, and financial performance. As our organization continues to grow, we are seeking an experienced Medical Billing & Accounts Receivable Specialist who thrives in a fast-paced specialty practice environment and understands the complexities of specialty medical reimbursement.

Position Summary

This is an on-site position based in Glendale, Arizona. We are seeking candidates who currently reside in the local area. The Medical Billing & Accounts Receivable Specialist will play a critical role within our Revenue Cycle Management department by managing payer accounts, resolving claim issues, reducing outstanding accounts receivable, and ensuring accurate and timely reimbursement. This individual will work collaboratively with clinical, coding, and revenue cycle teams to optimize collections while maintaining compliance with all payer and regulatory requirements.

Key Responsibilities

• Manage assigned accounts receivable inventory and follow established work queue priorities.
• Submit clean, accurate claims to commercial and government payers.
• Investigate, analyze, and resolve unpaid claims, denials, underpayments, and payment variances.
• Identify reimbursement trends and recommend opportunities to improve collection performance.
• Communicate with insurance carriers, patients, and internal departments to facilitate timely claim resolution.
• Correct claim edits and billing errors to ensure first-pass claim accuracy.
• Maintain accurate patient demographics, insurance information, and account balances.
• Process appropriate account adjustments in accordance with organizational policies.
• Collaborate with coding, clinical, and revenue cycle leadership to resolve complex reimbursement issues.
• Maintain compliance with HIPAA, CMS regulations, payer guidelines, and organizational policies.
• Consistently meet productivity, quality, and aging performance expectations.

Required Qualifications

• Minimum of 3 years of healthcare billing, accounts receivable, or medical reimbursement experience.
• Strong understanding of commercial and government payer reimbursement methodologies.
• Proficiency with Microsoft Office, including Excel, Outlook, and Word.
• High School Diploma or GED.

Preferred Qualifications

• Experience within a specialty physician practice or multi-specialty medical group.
• Revenue Cycle experience in Urology, Oncology, Radiation Oncology, Infusion Services, or other procedure-intensive specialties.
• Working knowledge of denial management, appeals, payer follow-up, and reimbursement optimization.
• Experience with Centricity or similar practice management/billing systems.
• Strong analytical, organizational, and communication skills.
• Ability to independently prioritize a high-volume workload while maintaining exceptional attention to detail.

Ideal Candidate

The ideal candidate is a proactive revenue cycle professional who understands the complexities of specialty physician billing and takes ownership of resolving reimbursement challenges. Candidates with experience supporting Radiation Oncology revenue cycle operations, including familiarity with oncology-specific payer requirements, authorization workflows, coding, or reimbursement processes, will be particularly well positioned for success in this role.