Remote AR Specialist: Denials & Payer Appeals

Anne Arundel Dermatology; Philadelphia (Philadelphia County); A distancia; USD 26.000 - 32.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental & Vision insurance

Disability insurance

Life insurance

Paid time off

Paid holidays

Retirement Savings account

Employee discount on cosmetic services

Descripción de la vacante

Anne Arundel Dermatology is seeking a full-time Accounts Receivable Specialist to join our Revenue Cycle team. This remote position requires residency within PA, MD, VA, NC, TN, GA, or FL and offers pay between $19-$23 per hour.

Responsibilities include insurance follow-up, denial resolution, appeals, and collections on open AR accounts. Ideal candidates will have experience handling denials, analyzing EOBs/remits, and communicating with payers to maximize reimbursement.

Formación

• 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 and payer-specific billing requirements.
• Strong understanding of insurance denials, appeals, and claims follow-up processes; experience with government and commercial payers.

Responsabilidades

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls and accessing payer websites.
• Identify root cause issues for denials; categorize denial reasons and coordinate with clinic/management for process improvements.
• Owns performance and ensures timely communication for issues affecting reimbursement.
• Resolve complex or aged inventory with payment research and recoups; document activities thoroughly.
• Review account information and determine next appropriate work activity.
• Verify claims adjudication using resources; initiate contact to obtain additional information as needed.
• Edit claims to meet billing compliance guidelines for electronic submission.
• Manage and maintain individual work list/inventory; complete reports and resolve high priority items.
• Stay informed of changes with procedures and laws for insurance carriers/payers.
• Communicate issues to management and develop solutions.

Descripción del empleo

Anne Arundel Dermatology is seeking a full-time Accounts Receivable Specialist to join our Revenue Cycle team. This remote position requires residency within PA, MD, VA, NC, TN, GA, or FL and offers pay between $19-$23 per hour.

Responsibilities include insurance follow-up, denial resolution, appeals, and collections on open AR accounts. Ideal candidates will have experience handling denials, analyzing EOBs/remits, and communicating with payers to maximize reimbursement.