AR Specialist (remote)

Anne Arundel Dermatology; Owings Mills (MD); Remote; USD 26.000 - 32.000; Vollzeit

Benefits dieser Stelle

Medical, Dental & Vision insurance

Disability insurance

Life Insurance

Paid time off

Paid holidays

Retirement Savings

Employee discount on cosmetic services

Zusammenfassung

Anne Arundel Dermatology is seeking a full-time Accounts Receivable Specialist to support the Revenue Cycle team in a remote role. Responsibilities include insurance follow-up, denial resolution, appeals, and collections for open AR, with emphasis on analyzing EOBs/remits and communicating with payers to maximize reimbursement.

The position requires at least 3 years in healthcare AR, familiarity with denial trends, and ability to work independently from a remote location.

Qualifikationen

• 3+ years in healthcare accounts receivable or revenue cycle
• Experience identifying and resolving insurance denials (eligibility, authorization, medical necessity, coding)
• Manage a personal work queue while meeting productivity/quality expectations
• Familiar with denial trends including modifier-related denials and payer requirements
• Strong written and verbal communication in a remote setting

Aufgaben

• Perform insurance follow-up and collections for open AR
• Investigate denials, identify root causes, and coordinate with clinic/management for improvements
• Communicate issues to management and develop solution steps
• Research payments, recoups, and update systems with accurate activity
• Verify claims adjudication and contact patients to obtain needed information
• Edit claims to meet billing guidelines and ensure electronic submission compliance
• Maintain and prioritize work list and aging inventory
• Stay updated on payer procedures and laws affecting denials

Kenntnisse

Healthcare AR experience

Insurance denial resolution

Denial trends analysis

EOB/remits analysis

Remote work discipline

Ausbildung

High School Diploma or equivalent

Jobbeschreibung

Overview

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. Ideal candidates will have experience working insurance denials, identifying denial trends, analyzing EOBs and remits, and communicating directly with commercial and government payers to maximize reimbursement. Candidates should also be comfortable identifying common coding-related denial issues, recognizing modifier-related denial trends, and collaborating with coding resources when additional review is needed.

Pay: $19-23/hour, depending on experience

Schedule: Monday - Friday |8:00 AM - 4:30 PM

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.

Why join Anne Arundel Dermatology?

We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research, emerging treatments, new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within.

Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. With 250+ clinicians and 110+ locations in 7 states, we’re thriving, growing, and looking to add talented individuals to our team!

Responsibilities

Responsibiliites:

• 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

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

Licensure/Certifications/Education

Education:

• Minimum of a High School Diploma or equivalent

Full time employees (defined as regularly working at least 30 hours per week) are eligible for the following 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