Medical AR & Revenue Cycle Specialist

U.S. Dermatology Partners; Tyler (TX); On-site; USD 52,000 - 70,000; Full time

Job summary

US Dermatology Partners is seeking an experienced medical billing professional to manage accounts receivable for insurance payors and patients. You will follow up on denials, verify coverage, process claims, and maintain accurate AR data while protecting patient confidentiality.

Strong knowledge of Medicare rules, HIPAA, and billing procedures is required. Three or more years in medical billing and accounting is required.

Qualifications

• Thorough knowledge of medical accounts receivable collection procedures.
• Thorough knowledge of Medicare rules and regulations.
• Thorough knowledge of medical billing procedures and medical insurance workflows.
• Detail oriented, professional attitude and reliable.
• Ability to meet KPIs and build clear processes.
• Strong organizational skills to support leadership of the function.

Responsibilities

• Follow up on unpaid insurance claims after denial to obtain settlements.
• Key data into computer systems and prepare insurance forms with patient data.
• Communicate with insurance companies to verify coverage and benefits.
• Prepare and mail insurance claim forms and patient statements monthly.
• Review EOBs and adjust claims and write-offs as needed.
• Respond to patient and payor inquiries promptly and accurately.
• Maintain contacts with payor representatives and ensure proper documentation.
• Process patient refunds and handle discharged patient transactions.
• Adhere to safety policies and protect confidentiality of patient information.

Skills

Accounts receivable

Medical billing

Healthcare

Customer service

HIPAA compliance

Tools

Excel

Word

Outlook

Job description

US Dermatology Partners is seeking an experienced medical billing professional to manage accounts receivable for insurance payors and patients. You will follow up on denials, verify coverage, process claims, and maintain accurate AR data while protecting patient confidentiality.

Strong knowledge of Medicare rules, HIPAA, and billing procedures is required. Three or more years in medical billing and accounting is required.