Accounts Receivable Specialist

RecruiterForge; United States; Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental, and vision

401(k) with company match

Paid time off + holidays

Life insurance options

Disability coverage

Identity theft protection

Employee assistance program

Employee discounts

Job summary

RecruiterForge is seeking a Billing Specialist to manage day-to-day billing, denial management, and payment follow-up for dermatology locations. You will investigate issues delaying submissions and coordinate with payers to resolve them, under the Manager of Accounts Receivable or Senior Director of Credentialing.

Responsibilities include following up on unpaid claims, preparing corrected claims, communicating AR concerns, and supporting audits.

Qualifications

• High school diploma or equivalent.
• Understanding of revenue cycle principles, accounts receivable, denial management, and CPT/HCPCS/ICD-10 coding.
• Professional communication skills with attention to detail in a remote environment.
• Authorized to work in the United States on a full-time basis.

Responsibilities

• Identify causes of claim denials and resolve them with minimal assistance.
• Analyze denial and payer trends and report recurring issues.
• Follow up on unpaid claims within established billing cycle timeframes.
• Prepare and submit corrected or replacement claims, reconsiderations, appeals, and supporting materials to payers.
• Contact payers to resolve claim and payment issues.
• Ensure patient information is accurate and current in the billing system.
• Meet productivity requirements and external benchmarks.
• Document accounts receivable clearly in the billing system.
• Report AR issues to team lead and assist audits as needed.
• Maintain knowledge of payer policies and guidelines.
• Complete additional revenue cycle duties and projects as assigned.

Skills

Revenue cycle

Accounts receivable

Denial management

CPT/HCPCS/ICD-10 coding

Education

High school diploma or equivalent

Medical billing certification

Job description

Manage day-to-day billing, claim issues, denials, and payment follow-up for assigned dermatology locations. Investigate and resolve issues that delay claim submission or payment, communicate accounts receivable concerns to management, and support accurate revenue cycle operations. This position reports to the Manager of Accounts Receivable and/or the Senior Director of Credentialing and Revenue Cycle.

Core responsibilities

• Identify the causes of claim denials and resolve them with minimal assistance.
• Analyze denial and payer trends and report recurring issues.
• Follow up on unpaid claims within established billing cycle timeframes.
• Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other supporting materials to payers.
• Contact payers to resolve claim and payment issues.
• Ensure patient medical information is accurate and current.
• Meet established productivity requirements and external benchmarks.
• Document patient accounts clearly and accurately in the billing system.
• Report accounts receivable issues to the team lead and provide administrative support as needed.
• Assist with internal and external audits.
• Maintain current knowledge of payer policies and guidelines.
• Complete additional revenue cycle duties and projects as assigned.

Skills and requirements

• High school diploma or equivalent.
• Understanding of revenue cycle principles, accounts receivable, denial management, and CPT, HCPCS, and ICD-10 coding.
• Professional communication skills and a detail-oriented, results-focused approach.
• Ability to multitask, prioritize, and manage time efficiently in a remote environment.
• Initiative, a positive attitude, and willingness to learn and adapt.
• Ability to maintain the integrity and confidentiality of medical information.
• Current authorization to work in the United States on a full-time basis.

Preferred background

• Education in medical billing or a medical billing certification.
• Experience with the Mod Med/EMA practice management system.

Employee benefits

• Medical, dental, and vision coverage.
• 401(k) with a company match of 100% of the first 3% contributed and 50% of the next 2%, with immediate vesting.
• Paid time off accruing from day one, plus 6 paid holidays and 2 floating holidays annually.
• Company-paid basic life insurance with additional coverage options.
• Short-term and long-term disability coverage.
• Accident, critical illness, and identity theft protection plans.
• Employee Assistance Program for confidential personal and work-related support.
• Employee discounts on products and services.