Accounts Receivable Specialist - Remote jobs in United States
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QualDerm Partners · 5 hours ago

Accounts Receivable Specialist - Remote

QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., committed to providing comprehensive skin care. The Accounts Receivable Specialist will handle day-to-day billing, claims issues, and follow-up for assigned locations, ensuring timely payment and compliance.

Health CareManagement Information SystemsMedical Device
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Responsibilities

Ability to identify the cause of claim denials and resolve them, with minimal assistance
Analyze problems and report trends related to denials and payer trends
Follow up on unpaid claims within standard billing cycle timeframe
Prepare and submit corrected/replacement claims, reconsiderations, appeals, medical documentation and other necessary documents to payers via fax, provider portals, etc
Make outbound calls to payers to resolve claims and payment issues
Ensure the patient's medical information is accurate and up to date
Meets productivity requirements as established by organization and external benchmarks
Provides necessary reporting and communication of any accounts receivable issues directly to the team lead
Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax
Provide team lead with administrative assistance when needed including assisting with internal/external audits
Maintains current knowledge in regards policies and guidelines for all payers
Adheres to Code of Conduct and Mission & Values Statement
In addition to the above job responsibilities, other duties and projects may be assigned

Qualification

Medical billing certificationRevenue cycle managementDenial managementMod Med/EMA experienceCPT/HCPCS/ICD10 codingMultitaskingEffective communicationDetail orientedSelf-starterIntegrityConfidentiality

Required

High School graduate or equivalent
Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10)
Must be highly professional and an effective communicator
Detail and results oriented, self-starter with a positive attitude
Be able to multitask, prioritize, and manage time efficiently while in a remote working environment
Eagerness to learn and adapt quickly in a changing environment
Ability to maintain a high level of integrity and confidentiality of medical information

Preferred

Education in medical billing or hold medical billing certification preferred
Mod Med/EMA practice management system experience is a plus

Benefits

Competitive Pay - Attractive compensation to reward your hard work
Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered
Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
Company-Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans
Disability Protection - Short-term and long-term disability coverage to protect you in unexpected circumstances
Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security
Employee Assistance Program (EAP) - Access confidential support for personal or work-related challenges
Exclusive Employee Discounts - Save on products and services with special discounts just for you
Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team

Company

QualDerm Partners

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QualDerm Partners provides strategic leadership and practice management services

Funding

Current Stage
Late Stage
Total Funding
$31.8M
2021-01-01Private Equity
2016-02-08Series Unknown· $31.8M

Leadership Team

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Bill Southwick
Board Member
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