Medical Billing & AR Specialist - Collections & Payor Liaison

U.S. Dermatology Partners; Tyler (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

U.S. Dermatology Partners is seeking a detail-oriented accounts receivable specialist to manage medical billing for payors and patients, maximizing collections. You will liaise with practices, clinics, the business office, payors, and patients, and ensure accurate receivable status while maintaining confidentiality.

Responsibilities include verifying coverage, preparing claim forms, handling denials, and ensuring compliant processes in line with established policies and procedures.

Responsibilities

• Follows up on unpaid insurance claims after denial to obtain settlement.
• Enter data to maintain billing records and insurance form data.
• Verify patient coverage and benefits information with insurance companies.
• Prepare and mail insurance claim forms and patient statements.
• Check insurance claim forms for accuracy and refiling corrections.
• Review EOBs including Medicare/Medicaid payments for accuracy.
• Adjust claims from out-of-network to in-network rates and process write-offs.
• Repost payments to appropriate accounts and respond to patient inquiries.
• Answer questions about statements, coverage, and keep messages accurate.

Job description

U.S. Dermatology Partners is seeking a detail-oriented accounts receivable specialist to manage medical billing for payors and patients, maximizing collections. You will liaise with practices, clinics, the business office, payors, and patients, and ensure accurate receivable status while maintaining confidentiality.

Responsibilities include verifying coverage, preparing claim forms, handling denials, and ensuring compliant processes in line with established policies and procedures.