Accounts Receivable Specialist
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Job Description
Accounts Receivable Specialist managing billing, claims, denials, and payer follow-up for QualDerm Partners’ multi-state dermatology network. Supporting revenue cycle accuracy and patient account resolution remotely across assigned locations.
Responsibilities:
- Handle day-to-day billing, claims issues, denials, and follow-up for assigned regions and locations
- Identify causes of claim denials and resolve them with minimal assistance
- Analyze problems and report denial and payer trends
- Follow up on unpaid claims within standard billing cycle timeframes
- Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other payer documents
- Make outbound calls to payers to resolve claims and payment issues
- Ensure patient medical information is accurate and up to date
- Meet productivity requirements established by the organization and external benchmarks
- Report accounts receivable issues directly to the team lead
- Document patient accounts in the billing system using proper grammar, spelling, and syntax
- Provide administrative assistance, including support for internal and external audits
- Maintain current knowledge of payer policies and guidelines
- Adhere to the Code of Conduct and Mission & Values Statement
- Perform other assigned duties and projects
- Report to the Manager, Accounts Receivable and/or Senior Director, Credentialing and Revenue Cycle
Requirements:
- High School graduate or equivalent
- Education in medical billing or medical billing certification preferred
- Mod Med/EMA practice management system experience is a plus
- Understanding of revenue cycle, accounts receivables, denial management, and CPT/HCPCS/ICD10 coding
- Highly professional and an effective communicator
- Detail- and results-oriented, self-starter with a positive attitude
- Ability to multitask, prioritize, and manage time efficiently in a remote working environment
- Eagerness to learn and adapt quickly in a changing environment
- Ability to maintain integrity and confidentiality of medical information
- Must be currently authorized to work full-time in the United States
Benefits:
- Competitive Pay – Attractive compensation to reward your hard work
- Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans
- Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
- Paid Time Off (PTO) – Accrue PTO from day one, plus 6 paid holidays and 2 floating holidays each year
- Company-Paid Life Insurance – Basic life coverage, with the option for additional plans
- Disability Protection – Short-term and long-term disability coverage
- Additional Wellness Plans – Accident, critical illness, and identity theft protection plans
- Employee Assistance Program (EAP) – Confidential support for personal or work-related challenges
- Exclusive Employee Discounts – Special discounts on products and services
- Referral Bonus Program – Bonuses for referring qualified candidates
- Equal opportunity employer committed to diversity and inclusion
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