Accounts Receivable Specialist – Medical Billing
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Job Description
Accounts Receivable Specialist involved in resolving complex insurance denials for a leading dermatology practice. Working remotely while driving timely reimbursements and ensuring accurate billing processes.
Responsibilities:
- Investigate and resolve insurance denials, including identifying root causes and submitting appeals when appropriate
- Work assigned AR inventory with a focus on aged and complex accounts to drive timely reimbursement
- Communicate with insurance carriers via phone, portals, and written correspondence to follow up on outstanding claims
- Review claim status, payment details, and EOBs to determine next steps for resolution
- Ensure claims meet payer-specific billing requirements and make necessary corrections for resubmission
- Accurately document all follow-up activity and maintain clear, detailed account notes
- Identify trends in denials or reimbursement issues and communicate findings to management
- Collaborate with internal teams to address process gaps and improve overall collections performance
- Maintain ownership of individual worklists and meet productivity and quality expectations
- Stay up to date on payer guidelines, policy changes, and billing requirements
- Assist with additional AR-related tasks as needed
Requirements:
- Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle
- Strong understanding of insurance denials, appeals, and claims follow-up processes
- Experience working with both government and commercial payers
- Ability to analyze EOBs, remits, and claim details to determine appropriate next steps
- Comfortable working independently in a remote environment while managing productivity expectations
- Strong attention to detail and organizational skills
- Effective written and verbal communication skills
- High school diploma or equivalent required
Benefits:
- Medical, Dental, and Vision insurance (effective the 1st of the month following start date)
- Short-term and long-term disability
- Voluntary life, critical illness, and hospital indemnity coverage
- Company-paid Basic Life and AD&D insurance
- Paid time off and paid holidays
- Retirement savings plan
- Employee discounts on cosmetic services and products
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