Medical Billing/AR Specialist
Overview:
At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother.
Patient First | Caring | Accountability | Trust | One Team | Growth
Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states.With 250+ clinicians and 110+ locations in 7 states, we’re thriving, growing, and looking to add talented individuals to our team!
Why join Anne Arundel Dermatology?
We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research, emerging treatments, new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology.We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within.
The Accounts Receivables (AR) Specialist performs collection follow-up steps with insurance carriers regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections.
Under the supervision of the AR Manager, an AR Specialist resolves insurance carrier denials, appealing claims, contacting payors on open accounts, and responding to insurance carrier correspondence and/or inquiries.
Responsibilities:
MUST reside in the EST time zone. Applicants outside of this time zone will not be considered.- Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
- Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
- Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
- Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
- Review the account information and necessary system applications to determine the next appropriate work activity.
- Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone, electronic or letter contact to patients to obtain additional information as needed.
- Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
- Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
- Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
- Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
- Other duties assigned as deemed necessary by management.
Qualifications:
- Minimum of 3 years of experience in a healthcare AR business setting is required
- MUST reside in the EST time zone
- Experience with ModMed preferred
- Experience working with multi-state payers is strongly preferred
Licensure/Certifications/Education:
- Minimum of a high school diploma or equivalent