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Job description
Accounts Receivable SpecialistApex Skin is a physician-led and rapidly growing dermatology practice committed to delivering exceptional patient experiences. We are seeking a talented and motivated Accounts Receivable Specialist to support our revenue cycle operations and ensure accurate and timely processing of insurance claims.This role includes reviewing and submitting claims, managing A/R aging and denials, processing appeals and claim resubmissions, resolving coordination of benefits (COB) issues, and communicating with patients and insurance companies regarding account and billing questions. The ideal candidate demonstrates strong knowledge of medical billing and insurance processes, attention to detail, effective communication skills, and the ability to manage multiple priorities in a fast-paced environment.Schedule: Full-time Monday through Friday 7:30 AM – 4:00 PM or 8:00 AM – 4:30 PM Hybrid flexibility may be available based on departmental needsEssential Functions:Manage assigned A/R accounts and work aging reports to ensure timely claim resolutionManage high volumes of claim denials, ensuring timely review, correction, and resubmission to maximize reimbursement.Review, scrub, and analyze electronic and paper insurance claims prior to submissionResolve claim rejections from clearing houses or payors within established timeframesHandle denials, appeals, coordination of benefits (COB) claims, and resubmissionsWork directly within insurance portals to verify claim status and submit required documentationGenerate and submit CMS-1500 forms when necessaryFollow up on unpaid claims and maintain detailed documentation for audit trail purposesCommunicate with insurance companies regarding claim discrepancies and payment delaysPartner with assigned office locations (4–5 sites) to resolve claim questions and documentation gapsWork collaboratively with coders, billers, medical records, and revenue cycle team membersRespond to patient inquiries related to account statements and explanations of benefits (EOBs)Submit invoices, medical records, and supporting documentation to payors as requiredMeet quarterly performance scorecard metrics, which vary quarterly depending on departmental expectationsMaintain professionalism, punctuality, and timely communication with internal stakeholdersPerform additional duties as assigned to support the revenue cycle teamReasonable accommodations may be made to enable individuals with disabilities to perform the essential functionsQualifications:Billing certification or formal billing education preferredHigh school diploma required; additional education in healthcare administration or billing is preferredMinimum of five (5) years of billing and collections experience in a clinic or physician practice settingStrong knowledge of medical billing processes, A/R principles, ICD-10 and CPT codingExperience handling denials, appeals, and insurance follow-upWorking knowledge of Medicare, Medicaid, and commercial insurance plansProficiency navigating insurance portals and electronic claim systemsExperience working within an EMR or practice management system; ModMed experience is preferredProficiency in Microsoft Office, Outlook, and Microsoft TeamsStrong time management skills with the ability to manage high claim volumes (800–900 cases)Excellent written and verbal communication skillsDemonstrated reliability, follow-through, and workflow adherenceCareer Growth Opportunities:Motivated A/R Specialists may pursue:Revenue Cycle Lead or Senior A/R Specialist rolesBilling Supervisor or Revenue Cycle Management pathwaysCross-training in coding, compliance, or financial analyticsProcess improvement and workflow optimization initiativesApex Skin provides training, mentoring, and development opportunities for individuals who demonstrate skill, reliability, accountability, and financial accuracy.Physical Requirements & Work Environment:Prolonged periods of sitting and working at a computerFrequent use of hands and fingers for typing and navigating electronic systemsAbility to occasionally stand, walk, bend, or lift up to 20 pounds (files or office materials)Visual acuity sufficient to review detailed financial data and claim documentationWork performed in a professional corporate office or hybrid settingFrequent interaction with internal departments, insurance representatives, and patientsRequires sustained attention to detail, focus, and independent problem-solvingMust adhere to HIPAA, OSHA, and Apex Skin privacy and safety standardsApex Skin Culture:Apex Skin fosters a collaborative, patient-first environment built on compassion, clinical excellence, and teamwork. We believe in a respectful and supportive workplace where employees feel valued, trusted, and empowered to contribute to exceptional patient experiences and meaningful clinical care.Employee Health & Safety Requirements:All patient-facing employees are required to provide proof of a TB test within the past 12 months and an annual flu vaccination as part of Apex Skin's employee health and safety protocols. The Hepatitis B vaccination series is also strongly recommended for clinical staff due to potential occupational exposure risks. Apex Skin complies with federal and Ohio law by providing reasonable accommodations for medical conditions or sincerely held religious beliefs that prevent vaccination. Employees seeking an accommodation should contact Human Resources for more information.Equal Employment Opportunity Statement:Apex Skin provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Apex complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Worksite address
cleveland, OH, 44101, US
Who can apply
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