Remote AR Specialist: Insurance Denials & Appeals

Anne Arundel Dermatology; Atlanta (GA); À distance; USD 26 000 - 32 000; Plein temps

Avantages offerts par ce poste

Medical, Dental & Vision insurance

Paid time off

Paid holidays

Retirement Savings account

Employee discount on cosmetic services

Résumé du poste

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

Ideal candidates will have experience handling insurance denials, analyzing EOBs/remits, and communicating with commercial and government payers to maximize reimbursement. High school diploma required with healthcare AR experience.

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 and payer-specific billing requirements.
• Experience working with both government and commercial payers.

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 and management for improvements.
• Own performance and ensure timely communication for issues affecting reimbursement.
• Resolve complex or aged inventory with payment research and documentation of activities.
• Review account information and determine next appropriate work activity.
• Verify claims adjudication and contact patients as needed to obtain information.
• Edit claims to meet billing compliance guidelines for electronic submission.
• Manage and maintain individual work list/inventory, complete reports, and resolve high priority cases.
• Stay informed of changes in procedures and laws for insurance carriers or payers.
• Communicate issues to management and develop solutions; perform other duties as needed.

Connaissances

Insurance follow-up

Denial resolution

Appeals

Collections

Payer communication

Formation

High School Diploma or equivalent

Description du poste

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

Ideal candidates will have experience handling insurance denials, analyzing EOBs/remits, and communicating with commercial and government payers to maximize reimbursement. High school diploma required with healthcare AR experience.