Accounts Receivable Specialist - Remote

Summary

QualDerm Partners is a multi-state dermatology network focused on providing comprehensive, accessible skin care. The Accounts Receivable Specialist manages billing, claims issues, denials, and follow-up for assigned locations, while supporting revenue cycle operations, accurate documentation, and payer compliance.

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 maybe assigned

Skills

• Applicants must be currently authorized to work in the United States in a full-time basis
• 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
• Education in medical billing or hold medical billing certification preferred
• Mod Med/EMA practice management system experience is a plus

Qualifications

Must Haves

• Applicants must be currently authorized to work in the United States in a full-time basis
• 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

Nice to Haves

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

Benefits

• Medical, Dental, and Vision plans
• Company matches 100% of the first 3% of 401(k) contributions, plus 50% of the next 2%, with immediate vesting
• Accrue PTO from day one, plus 6 paid holidays and 2 floating holidays each year
• Company-paid basic life insurance, with the option for additional plans
• Short-term and long-term disability coverage
• Accident, critical illness, and identity theft protection plans
• Employee Assistance Program (EAP) with confidential support for personal or work-related challenges
• Exclusive employee discounts on products and services
• Referral Bonus Program
• Remote working arrangement