Medical Billing A/R Specialist

Company Overview
Dermatology Associates is a privately owned, specialized medical practice with over 35 years of experience serving patients across multiple locations. Renowned for excellence and innovation, we are committed to advancing dermatology through rigorous training programs and community-focused care.

Job Summary:

The Medical A/R Specialist is responsible for managing the organization’s accounts receivable, ensuring that all payments owed to the practice, clinic, or healthcare facility are collected promptly and accurately. This role involves reviewing and following up on unpaid claims, investigating and resolving payment discrepancies, working with insurance companies and patients to resolve issues, and maintaining accurate billing and collections records.

Key Responsibilities:

• Claims Management:
• Review and manage accounts receivable reports daily to identify unpaid or underpaid claims.
• Follow up on insurance claims, denials, and appeals.
• Correct and resubmit denied or rejected claims based on payer requirements.
• Communicate with insurance companies to resolve outstanding claim issues and ensure timely reimbursement.
• Ensure that claims are billed accurately, reflecting appropriate coding and patient demographics.
• Collections:
• Initiate and conduct follow-up on unpaid patient balances, including generating patient statements and making collection calls.
• Collaborate with patients and insurance representatives to resolve account discrepancies and ensure payments are made.
• Monitor aging accounts receivable and follow up with appropriate parties to ensure collections.
• Payment Posting:
• Accurately post payments received from insurance companies and patients into the billing system.
• Reconcile payments against Explanation of Benefits (EOB) statements to verify accuracy.
• Address payment discrepancies, short payments, or overpayments.
• Compliance and Documentation:
• Maintain comprehensive and accurate records of billing, payments, and communications with payers and patients.
• Ensure compliance with all HIPAA regulations and other legal requirements.
• Stay updated on changes in insurance guidelines, coding, and billing regulations.
• Reporting:
• Generate and analyze A/R aging reports to monitor outstanding balances.
• Report any recurring issues with claim denials or payment delays to the Billing Manager or Revenue Cycle Director.
• Provide periodic updates on collection activities, account statuses, and resolutions.
• Customer Service:
• Provide excellent customer service when interacting with patients regarding their billing concerns or questions.
• Work closely with other departments, such as medical coding and patient services, to ensure accurate claim submissions and patient billing.
• Required Qualifications:
• Education:
• High school diploma or equivalent required.
• An associate's degree or certification in healthcare administration, medical billing, or related field preferred.
• Experience:
• Minimum of 2 years of experience in medical billing, accounts receivable, or healthcare revenue cycle management.
• Familiarity with medical billing software and electronic health record (EHR) systems.
• Experience with insurance claim processes, denials, appeals, and collections.

Drug Free Workplace

Job Type: Full-time

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 1 year (Required)

Benefits:

• 401(k) matching

Work Location: In person