QualDerm Partners

Accounts Receivable

• Ability to identify the cause of claim denials and resolve them, with minimal assistance.
• Analyze problems and report trends related to denials and payer trends.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Prepare and submit corrected/replacement claims, reconsiderations, appeals, medical documentation and other necessary documents to payers via fax, provider portals, etc.
• Make outbound calls to payers to resolve claims and payment issues.
• Ensure the patient’s medical information is accurate and up to date.
• Meets productivity requirements as established by organization and external benchmarks.
• Provides necessary reporting and communication of any accounts receivable issues directly to the team lead.
• Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
• Provide team lead with administrative assistance when needed including assisting with internal/external audits.
• Maintains current knowledge in regards policies and guidelines for all payers.
• Adheres to Code of Conduct and Mission & Values Statement.
• In addition to the above job responsibilities, other duties and projects may be assigned

Accounts Receivable Specialist