Role Description
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.
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Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
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Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
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Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
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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.
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Review the account information and necessary system applications to determine the next appropriate work activity.
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Verify claims adjudication utilizing appropriate resources and applications.
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Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
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Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
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Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
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Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
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Other duties assigned as deemed necessary by management.
Qualifications
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Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle.
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Experience identifying and resolving insurance denials, including eligibility, authorization, medical necessity, and coding-related denials.
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Ability to manage an individual work queue while meeting productivity and quality expectations.
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Working knowledge of common denial trends, including modifier-related denials (e.g., Modifier 25, 59, RT/LT) and payer-specific billing requirements.
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Strong understanding of insurance denials, appeals, and claims follow-up processes.
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Experience working with both government and commercial payers.
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Ability to analyze EOBs, remits, and claim details to determine appropriate next steps.
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Comfortable working independently in a remote environment while managing productivity expectations.
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Strong attention to detail and organizational skills.
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Effective written and verbal communication skills.
Requirements
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High school diploma or equivalent required.
Benefits
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Medical, Dental, and Vision insurance (effective the 1st of the month following start date).
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Short-term and long-term disability.
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Voluntary life, critical illness, and hospital indemnity coverage.
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Company-paid Basic Life and AD&D insurance.
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Paid time off and paid holidays.
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Retirement savings plan.
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Employee discounts on cosmetic services and products.