Remote AR Specialist - Denials & Reimbursement Expert

Anne Arundel Dermatology; Tallahassee (FL); À distance; USD 26 000 - 32 000; Plein temps

Avantages offerts par ce poste

Medical, Dental & Vision insurance

Disability insurance

Paid time off

Paid holidays

Retirement Savings account

Employee discount

Résumé du poste

Anne Arundel Dermatology is seeking a remote full-time Accounts Receivable Specialist to join our Revenue Cycle team. This role handles insurance follow-up, denial resolution, appeals, and collections for open accounts.

Ideal candidates will have experience with insurance denials, EOBs/remits analysis, and communicating with commercial and government payers to maximize reimbursement. Residency within PA, MD, VA, NC, TN, GA, or FL is required.

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 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.

Responsabilités

• 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 improvements.
• Owns performance and ensures timely communication for reimbursement issues.
• Resolve complex or aged inventory with payment research and recoup processes.
• Review account information and determine next steps using system applications.
• Verify claims adjudication and contact patients for additional information as needed.
• Edit claims to meet billing compliance guidelines for electronic submission.
• Manage and maintain work lists, complete reports, and resolve high-priority inventory.
• Stay informed of changes with procedures and laws for insurance carriers or payers.
• Communicate issues to management and develop solutions.

Connaissances

AR experience

Insurance denials

EOB/remits analysis

Remote work

Communication skills

Attention to detail

Formation

High School Diploma or equivalent

Description du poste

Anne Arundel Dermatology is seeking a remote full-time Accounts Receivable Specialist to join our Revenue Cycle team. This role handles insurance follow-up, denial resolution, appeals, and collections for open accounts.

Ideal candidates will have experience with insurance denials, EOBs/remits analysis, and communicating with commercial and government payers to maximize reimbursement. Residency within PA, MD, VA, NC, TN, GA, or FL is required.