[Hiring] AR Specialist @Anne Arundel Dermatology

Role Description

The Accounts Receivables (AR) Specialist performs collection follow-up steps with insurance carriers regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections. Under the supervision of the AR Manager, an AR Specialist resolves insurance carrier denials, appealing claims, contacting payors on open accounts, and responding to insurance carrier correspondence and/or inquiries.

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.

• 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. 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

• Minimum of 3 years of experience in a healthcare AR business setting.
• Minimum of a high school diploma or equivalent.

Requirements

• Pay range: $19-23/hr, depending upon experience.
• Hours: M-F 8:00 AM - 4:30 PM.

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.