Accounts Receivable Specialist

🔥 3 hours ago

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QualDerm Partners

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

⚖️ Legal

🏥 Healthcare

💰 Venture Round on 2016-02

Consulting • Legal • Healthcare

QualDerm Partners is a comprehensive network dedicated to supporting high-quality dermatology practices and skin care experts across the United States. It empowers dermatologists with management support, access to capital, and strategic alliances to ensure long-term growth and operational efficiency. By facilitating partnerships and enhancing practice infrastructure, QualDerm enables dermatologists to concentrate on delivering outstanding patient care, particularly in fields such as skin cancer care, aesthetics, and cosmetic surgery. QualDerm Partners operates with a culture of quality and innovation, supporting over 158 practices and serving more than 120,000 patients monthly. Their commitment to maintaining physician autonomy while providing robust business support sets them apart in the healthcare sector.

📋 Description

• Handle day-to-day billing, claims issues, denials, and follow-up for assigned regions and locations • Identify causes of claim denials and resolve them with minimal assistance • Analyze problems and report denial and payer trends • Follow up on unpaid claims within standard billing cycle timeframes • Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other payer documents • Make outbound calls to payers to resolve claims and payment issues • Ensure patient medical information is accurate and up to date • Meet productivity requirements established by the organization and external benchmarks • Report accounts receivable issues directly to the team lead • Document patient accounts in the billing system using proper grammar, spelling, and syntax • Provide administrative assistance, including support for internal and external audits • Maintain current knowledge of payer policies and guidelines • Adhere to the Code of Conduct and Mission & Values Statement • Perform other assigned duties and projects • Report to the Manager, Accounts Receivable and/or Senior Director, Credentialing and Revenue Cycle

🎯 Requirements

• High School graduate or equivalent • Education in medical billing or medical billing certification preferred • Mod Med/EMA practice management system experience is a plus • Understanding of revenue cycle, accounts receivables, denial management, and CPT/HCPCS/ICD10 coding • Highly professional and an effective communicator • Detail- and results-oriented, self-starter with a positive attitude • Ability to multitask, prioritize, and manage time efficiently in a remote working environment • Eagerness to learn and adapt quickly in a changing environment • Ability to maintain integrity and confidentiality of medical information • Must be currently authorized to work full-time in the United States

🏖️ Benefits

• Competitive Pay – Attractive compensation to reward your hard work • Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans • 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 6 paid holidays and 2 floating holidays each year • Company-Paid Life Insurance – Basic life coverage, with the option for additional plans • Disability Protection – Short-term and long-term disability coverage • Additional Wellness Plans – Accident, critical illness, and identity theft protection plans • Employee Assistance Program (EAP) – Confidential support for personal or work-related challenges • Exclusive Employee Discounts – Special discounts on products and services • Referral Bonus Program – Bonuses for referring qualified candidates • Equal opportunity employer committed to diversity and inclusion