Accounts Receivable Specialist

Employment type: Full-time

Pay: $17.99 - $32.14/hour

Work model: Remote

Position summary

Manage day-to-day billing, claim issues, denials, and payment follow-up for assigned dermatology locations. Investigate and resolve issues that delay claim submission or payment, communicate accounts receivable concerns to management, and support accurate revenue cycle operations. This position reports to the Manager of Accounts Receivable and/or the Senior Director of Credentialing and Revenue Cycle.

Core responsibilities

• Identify the causes of claim denials and resolve them with minimal assistance.
• Analyze denial and payer trends and report recurring issues.
• Follow up on unpaid claims within established billing cycle timeframes.
• Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other supporting materials to payers.
• Contact payers to resolve claim and payment issues.
• Ensure patient medical information is accurate and current.
• Meet established productivity requirements and external benchmarks.
• Document patient accounts clearly and accurately in the billing system.
• Report accounts receivable issues to the team lead and provide administrative support as needed.
• Assist with internal and external audits.
• Maintain current knowledge of payer policies and guidelines.
• Complete additional revenue cycle duties and projects as assigned.

Skills and requirements

• High school diploma or equivalent.
• Understanding of revenue cycle principles, accounts receivable, denial management, and CPT, HCPCS, and ICD-10 coding.
• Professional communication skills and a detail-oriented, results-focused approach.
• Ability to multitask, prioritize, and manage time efficiently in a remote environment.
• Initiative, a positive attitude, and willingness to learn and adapt.
• Ability to maintain the integrity and confidentiality of medical information.
• Current authorization to work in the United States on a full-time basis.

Preferred background

• Education in medical billing or a medical billing certification.
• Experience with the Mod Med/EMA practice management system.

Employee benefits

• Medical, dental, and vision coverage.
• 401(k) with a company match of 100% of the first 3% contributed and 50% of the next 2%, with immediate vesting.
• Paid time off accruing from day one, plus 6 paid holidays and 2 floating holidays annually.
• Company-paid basic life insurance with additional coverage options.
• Short-term and long-term disability coverage.
• Accident, critical illness, and identity theft protection plans.
• Employee Assistance Program for confidential personal and work-related support.
• Employee discounts on products and services.
• Employee referral bonus program.