Top 9 Medicaid eligibility specialist Jobs in Fresno, Ca

AR Specialist
Cardiovascular Consultants Heart Center —Fresno, CA
- From $22 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- 401(k)
Quick Apply
Eligibility Specialist
INNOVATIVE INTEGRATED HEALTH —Fresno, CA
- $20 - $24 an hour
- Full-time
- CPR Certification
- Microsoft Outlook
- Word processing
- Health savings account
- Health insurance
Field Hospital Enrollment Specialist (Bilingual Spanish)
Pair Team —Clovis, CA
- $28 - $30 an hour
- Email
- Background check
- Spanish
- Google Workspace
- Dental insurance
- 401(k)
Quick Apply
Lead Billing Specialist
Valley Health Team, Inc. —Fresno, CA
- $23.25 - $32.18 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Fresno, CA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Pair Team —Fresno, CA
- $22 - $25 an hour
- Email
- Background check
- Spanish
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
Enrollment Advisor- Trilingual (English, Hmong, Lao)
BoldAge PACE —Fresno, CA
- $27.50 - $36.40 an hour
- Call employer
- Spanish
- Marketing
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
12d

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AR Specialist
Cardiovascular Consultants Heart Center —Fresno, CA
Match incoming payments to invoices and create reports for management on the status of unpaid accounts. High school diploma or equivalent (required); Associate…
From $22 an hour
Quick Apply
Lead Billing Specialist
Valley Health Team, Inc. —Fresno, CA
Must have own transportation, valid California Driver’s License and current proof of automobile insurance coverage. Good judgment and decision-making skills.
$23.25 - $32.18 an hour
Quick Apply

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Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Performing research and answering questions related to…
$40.40 an hour
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
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AR Specialist

Cardiovascular Consultants Heart Center -
Fresno, CA

Quick Apply

Job Details

Full-time
From $22 an hour

Benefits

Health insurance
401(k)
Paid time off
Paid sick time

Qualifications

Multitasking
High school diploma or GED
Attention to detail
Organizational skills
Associate's degree

Full Job Description

The Accounts Receivable (AR) Specialist supports the financial operations of our high-volume cardiology group by managing insurance and patient receivables. This role focuses on timely claim follow-up, payment posting, and collections, ensuring the practice maintains a healthy cash flow. The ideal candidate will have strong knowledge of medical billing processes and hands-on experience using Intergy Practice Management and EPIC EHR systems.

Essential Functions/Responsibilities:

· Monitor, review, and follow up on outstanding insurance and patient account balances

· Process and post insurance and patient payments accurately within Intergy Practice Management system

· Utilize EPIC EHR to review patient charts and ensure proper documentation supports billing

· Resolve denied or underpaid claims by conducting appeals, adjustments, and resubmissions

· Prepare and submit written or electronic appeals with appropriate documentation and follow-up

· Maintain thorough and up-to-date records of all appeals and communications with payers

· Communicate with insurance carriers for claim status, eligibility, and payment discrepancies

· Communicate with insurance carriers to resolve underpaid, denied, or delayed claims

· Generate and analyze AR aging reports to identify priority accounts and escalate issues when necessary

· Analyze denial codes and EOBs to determine root causes and implement corrective action

· Collaborate with billing and coding teams to ensure accurate CPT/ICD10 coding and clean claim submission

· Respond to patient inquiries regarding billing, balances, and payment options professionally and accurately

· Reconcile payments with Explanation of Benefits (EOBs) and electronic remittance advice (ERA)

Track outstanding accounts, review aging reports, and resolve billing discrepancies

Call and email customers to secure payments and arrange workable payment plans

Match incoming payments to invoices and create reports for management on the status of unpaid accounts

Assist clients with disputes, hardship requests, and questions regarding their payments

· Process credit card payments from patients who call the office, and provide receipts and confirmation as needed. Maintain detailed and accurate documentation of collection activities in patient accounts

· Stay informed about payer policy updates, coding changes, and cardiology-specific billing requirements

· Follow HIPAA guidelines to maintain patient confidentiality and privacy

Qualifications:

· High school diploma or equivalent (required); Associate degree in Accounting, Healthcare Administration, or related field (preferred)

· Minimum 2 years of AR or medical billing experience in a specialty or cardiology practice

· Proficiency with Intergy Practice Management software (Greenway)

· Experience using EPIC EHR for clinical and billing review

· Solid understanding of insurance billing, denial management, and reimbursement procedures

· Knowledge of Medicare, Medicaid, and commercial payer guidelines

· Familiarity with medical terminology, especially in cardiology

· Excellent organizational, communication, and problem-solving skills

· Ability to manage multiple tasks and prioritize in a fast-paced environment

· Demonstrate ability to maintain high level of productivity, time management, organization, attention to detail, documentation skills and ability to resolve conflict in the work place.

· Able to make decisions using discretion and independent judgment.

· Able to prioritize and manage time to meet deadlines and time constraints.

· Pass a criminal background check

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

401(k)
Health insurance
Paid sick time
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

medicaid eligibility specialist jobs in fresno, ca

AR Specialist

Eligibility Specialist

Field Hospital Enrollment Specialist (Bilingual Spanish)

Lead Billing Specialist

Customer Service Representative

Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)

Enrollment Advisor- Trilingual (English, Hmong, Lao)

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