Job description
Overview
Anne Arundel Dermatology is seeking a full-time Accounts Receivable Specialist (AR Specialist) to join our Revenue Cycle team. This remote position is responsible for insurance follow-up, denial resolution, appeals, and collections activities related to open accounts receivable. Ideal candidates will have experience working insurance denials, identifying denial trends, analyzing EOBs and remits, and communicating directly with commercial and government payers to maximize reimbursement. Candidates should also be comfortable identifying common coding-related denial issues, recognizing modifier-related denial trends, and collaborating with coding resources when additional review is needed.
Schedule: Monday - Friday | 8:00 AM - 4:30 PM
Pay range: $19-23.00/hour, depending on experience
This is a remote position but requires residency within one of the following states: PA, MD, VA, NC, TN, GA, FL. We cannot consider applicants from outside of these states.
Why join Anne Arundel Dermatology?
We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research, emerging treatments, new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within.
Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. With 250+ clinicians and 110+ locations in 7 states, we’re thriving, growing, and looking to add talented individuals to our team!
Responsibilities
Responsibilities:
Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
Apply a basic understanding of coding-related denials commonly seen in procedural specialties
Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
Review the account information and necessary system applications to determine the next appropriate work activity.
Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone, electronic or letter contact to patients to obtain additional information as needed.
Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Other duties assigned as deemed necessary by management.
Qualifications
Qualifications:
Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle
Experience identifying and resolving insurance denials, including eligibility, authorization, medical necessity, and coding-related denials.
Ability to manage an individual work queue while meeting productivity and quality expectations.
Working knowledge of common denial trends, including modifier-related denials (e.g., Modifier 25, 59, RT/LT) and payer-specific billing requirements.
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
Licensure/Certifications/Education
Education:
Minimum of a high school diploma or equivalent
Full time employees (defined as regularly working at least 30 hours per week) are eligible for the following benefits:
Medical, Dental & Vision insurance – effective 1st of the month after date of start
Short-term and long-term disability, Voluntary life (employee, spouse, and child), Critical Illness, and Hospital Indemnity – Effective the 1st of the month following date of hire
Company provided Basic Life/AD&D insurance
Paid time off
Paid holidays
Retirement Savings account
Employee discount on cosmetic services and products
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.