[Hiring] Accounts Receivable Specialist @Anne Arundel Dermatology

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.

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls and accessing payer websites.
• Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or management to ensure process improvements are completed.
• Apply a basic understanding of coding-related denials commonly seen in procedural specialties.
• Own performance and ensure consistent and timely communication for issues identified affecting reimbursement.
• Effectively resolve complex or aged inventory, including payment research and payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
• Review account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications; initiate 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 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

• 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.

Requirements

• Minimum of a high school diploma or equivalent.

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.