AR Specialist (remote)

Summary

Anne Arundel Dermatology is a dermatology services organization seeking a full-time Accounts Receivable Specialist to join its Revenue Cycle team. The remote role focuses on insurance follow-up, denial resolution, appeals, collections, claims review, and reimbursement-related issue resolution.

Responsibilities

• 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
• Apply a basic understanding of coding-related denials commonly seen in procedural specialties
• 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

Skills

• 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 (e.g., Modifier 25, 59, RT/LT) 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
• Minimum of a high school diploma or equivalent
• This is a remote position but requires residency within one of the following states: PA, MD, VA, NC, TN, GA, FL. We cannot consider applicants from outside of these states

Qualifications

Must Haves

• 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 (e.g., Modifier 25, 59, RT/LT) 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
• Minimum of a high school diploma or equivalent
• This is a remote position but requires residency within one of the following states: PA, MD, VA, NC, TN, GA, FL. We cannot consider applicants from outside of these states

Benefits

• Remote position
• Continual training and education
• Intensive hands-on training
• Long-term career growth opportunities from within
• Medical, Dental & Vision insurance – effective 1st of the month after date of start (for full-time employees regularly working at least 30 hours per week)
• Short-term and long-term disability, Voluntary life (employee, spouse, and child), Critical Illness, and Hospital Indemnity – effective the 1st of the month following date of hire (for full-time employees regularly working at least 30 hours per week)
• Company provided Basic Life/AD&D insurance (for full-time employees regularly working at least 30 hours per week)
• Paid time off (for full-time employees regularly working at least 30 hours per week)
• Paid holidays (for full-time employees regularly working at least 30 hours per week)
• Retirement Savings account (for full-time employees regularly working at least 30 hours per week)
• Employee discount on cosmetic services and products (for full-time employees regularly working at least 30 hours per week)