AR Specialist

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🐊 Florida, North Carolina, +4 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

💵 $19 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

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Anne Arundel Dermatology

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1974

⚕️ Healthcare Insurance

💄 Beauty

Healthcare Insurance • Beauty • Healthcare

Anne Arundel Dermatology is a healthcare provider specializing in dermatological services. They focus on treating conditions related to skin, hair, and nails, offering a variety of services including skin cancer screening, cosmetic dermatology, and laser treatments. With a dedicated team of professionals, they aim to provide comprehensive skin care to improve the health and appearance of their patients' skin.

📋 Description

• 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. • 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. • 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.

🎯 Requirements

• 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

🏖️ Benefits

• Medical, Dental, and Vision insurance (effective the 1st of the month following start date) • Short-term and long-term disability • Voluntary life, critical illness, and hospital indemnity coverage • Company-paid Basic Life and AD&D insurance • Paid time off and paid holidays • Retirement savings plan • Employee discounts on cosmetic services and products