Revenue Cycle Claims Resolution Specialist

QualDerm Partners LLC; United States; Remote; USD 27,000 - 38,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Health Coverage

Generous 401(k) Plan

Paid Time Off (PTO)

Company-Paid Life Insurance

Disability Protection

Additional Wellness Plans

Employee Assistance Program (EAP)

Exclusive Employee Discounts

Referral Bonus Program

Job summary

QualDerm Partners seeks a Revenue Cycle Management specialist to identify and resolve third-party payer rejections. You will enter bills/charges with input from certified coding team and monitor missing charges in coordination with RCM leadership.

Responsibilities include correcting claims, submitting electronically, contacting payers when needed, and reporting trends to improve submission success. Join a female-founded dermatology network dedicated to quality patient care.

Qualifications

• 1-3 years of experience in medical/insurance environment for physician practice or billing company
• Revenue cycle experience preferred
• Complete Modernizing Medicine University courses within 6 months of hire
• Excellent verbal and written communication skills

Responsibilities

• Manage claims returned which have failed scrub rules
• Identify and resolve payer rejections in a timely manner
• Enter charges/bills into EMR in coordination with certified coding team/Coding manager
• Monitor missing charges and communicate with RCM management as needed
• Must have knowledge of claim correction, electronic claim submission
• Ability to contact payers when necessary to resolve any issues
• Report trends in a timely manner to RCM leadership that prevent successful claim submission
• Ability to effectively communicate with other departments such as Coding, AR/Follow-up, Patient Services and Posting

Skills

Verbal communication

Written communication

Excel

Data analysis

Attention to detail

Teamwork

Deadline driven

Education

Modernizing Medicine University courses

Tools

EMR

Microsoft Excel

Job description

QualDerm Partners seeks a Revenue Cycle Management specialist to identify and resolve third-party payer rejections. You will enter bills/charges with input from certified coding team and monitor missing charges in coordination with RCM leadership.

Responsibilities include correcting claims, submitting electronically, contacting payers when needed, and reporting trends to improve submission success. Join a female-founded dermatology network dedicated to quality patient care.