Accounts Receivable Specialist

Summary

Join MedCore Solutions as an Accounts Receivable Specialist (Dermatology Claims) and play a crucial role in managing dermatology-related claims. You will handle the full cycle of revenue cycle management, processing and managing claims, resolving rejected claims, and following up on outstanding payments. This position requires strong communication with healthcare providers and insurance companies, ensuring timely payments and patient satisfaction. Accuracy and attention to detail are essential. The role involves reconciling accounts, conducting audits, and preparing reports. This is a full-time, permanent work-from-home position with a graveyard shift schedule in Hawaii Standard Time.

Requirements

• Minimum of 3 years of experience in accounts receivable (US Healthcare)
• Strong knowledge of dermatology billing processes and codes
• Proficient in EZDerm EMR
• Familiarity with insurance verification and claim adjudication
• Amenable to work in a graveyard shift

Responsibilities

• Handle full-cycle RCM
• Process and manage dermatology claims accurately and in a timely manner
• Review and resolve rejected claims, and follow up on outstanding payments
• Communicate with healthcare providers and insurance companies regarding claim status and payment arrangements
• Reconcile accounts receivable and conduct regular audits of accounts for discrepancies
• Provide excellent customer service by addressing and resolving patient inquiries regarding billing
• Maintain confidentiality and compliance with HIPAA regulations
• Prepare and submit periodic reports on collections and outstanding claims

Preferred Qualifications

• Reduction in claim rejections and denials
• Achievement of target collections on a monthly basis
• Timeliness in response to patient inquiries
• Accuracy in claim submissions and account reconciliations

Benefits

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Specialized Training