A/R Rep - Maitland, FL

Advancedderm; Florida; Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Benefits packages

PTO / 6 Paid Holidays / Floating/Hols

401K

Hybrid work after training period

Job summary

ADCS Clinics LLC is seeking an Accounts Receivable Representative to support the Revenue Cycle Department in processing and collecting insurance claims accurately and promptly. The role requires AR knowledge, strong organization, and patient-focused service in a well-regarded dermatology practice.

You will review billing reports, analyze denials, initiate refunds, and assist patients with plan questions while adhering to HIPAA and high ethical standards.

Qualifications

• High school diploma or GED.
• 1–2 years in a medical billing office with insurance, managed care, Medicare or Medicaid experience.
• Proficient with Microsoft Office Suite programs.
• Excellent organizational skills.
• Time management, multitasking and adaptability.
• Confidentiality under HIPAA and professional discretion.
• Potential knowledge of medical terminology (preferred).
• Ability to work with outside vendors and insurance representatives.
• Typing speed 25 wpm or greater (preferred).

Responsibilities

• Review billing reports and confirmations, tracking daily claims activity.
• Analyze denials and appeal determinations when needed; flag accounts as appropriate.
• Initiate and process refund requests for overpayments.
• Answer patient questions on plan issues as needed.
• Follow pre-certification requirements and filing/appeal procedures.
• Monitor claim submissions and report issues to management.
• May perform duties or special projects as assigned.

Skills

Accounts Receivable

Microsoft Office

HIPAA compliance

Attention to detail

Education

High School Diploma or GED

Job description

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024. Advanced Dermatology and Cosmetic Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates who are focused, detailed, and resourceful to join our team as an Accounts Receivable Representative. We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else.

SUMMARY

As part of the Accounts Receivable team, you will support the Revenue Cycle Department in ensuring insurance claims have been processed and paid in a timely and effective manner while maintaining accuracy and productivity levels. We are committed to supporting our medical providers with medical billing knowledge and patients with care and compassion! You must have AR knowledge and experience.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review billing reports and confirmations, tracking daily claims activity
• Analyze denials, working to resolve any issues and appeal determinations when needed; flag accounts as appropriate
• Initiate and work up refund requests for overpayments
• Answer patient questions on plan issues as needed
• Follow guidelines of assigned plans concerning pre-certification requirements and procedures for filing and appealing claims
• Monitor and immediately report to management any claim submission problems
• May perform duties or special projects as required or as assigned by management

EDUCATION REQUIRED

• High school diploma or GED

EXPERIENCE REQUIRED

• One year (two years preferred) of experience in a medical billing office with experience in insurance, managed care, Medicare, and Medicaid.
• Computer experience relating to business office functions, as well as Microsoft Office Suite programs.
• Excellent organizational skills
• Ability to manage time efficiently, prioritize, multi-task, and adapt to change
• Ability to practice confidentiality and follow HIPAA regulations with patient information
• Ability to practice professional ethics and use discretion concerning ADCS directives and proprietary information/trade secrets of the organization
• Ability to recognize a problem and effectively problem-solve, using guidance from management when appropriate
• Ability to maintain high level of accuracy in all documentation and in the performance of all job duties
• Skilled in using computers; skilled in typing/keyboarding with typing speed of 25 wpm or greater, preferred
• Knowledge of medical terminology and ability to use appropriately, preferred
• Ability to deal effectively and professionally with outside vendors and insurance representatives

COMPENSATION AND BENEFITS (*Eligible for Full Time Employees):

• Benefits packages
• PTO/6 Paid Holidays/Floating Holiday/Vacation Time
• 401K
• Hybrid work arrangement after introductory/training period and proven/sustained performance

ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations. All applicants must have authorization to work in the United States.