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Accounts Receivable Specialist
QualDerm PartnersAccounts Receivable Specialist ensuring accurate billing and claims management in a dermatology network. Collaborating with healthcare professionals to deliver superior patient care and experience.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- High School graduate or equivalent.
- Education in medical billing or hold medical billing certification preferred.
- Mod Med/EMA practice management system experience is a plus.
- Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10).
- Must be highly professional and an effective communicator.
- Detail and results oriented, self-starter with a positive attitude
- Be able to multitask, prioritize, and manage time efficiently while in a remote working environment.
- Eagerness to learn and adapt quickly in a changing environment.
- Ability to maintain a high level of integrity and confidentiality of medical information
Benefits
Comp & perks- Competitive Pay – Attractive compensation to reward your hard work
- Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
- 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 enjoy 6 paid holidays and 2 floating holidays each year
- Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
- Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
- Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
- Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
- Exclusive Employee Discounts – Save on products and services with special discounts just for you
- Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingdenial managementcodingCPTHCPCSICD10accounts receivablesrevenue cycleclaim resolutiondata analysis
Soft Skills
effective communicationdetail orientedresults orientedself-starterpositive attitudemultitaskingtime managementadaptabilityintegrityconfidentiality
Certifications
medical billing certification