Dermatology Accounts Receivable (AR) Specialist | Permanent WFH

We are seeking a highly skilled and detail-oriented Dermatology Accounts Receivable (AR) Specialist to join our growing healthcare team. The ideal candidate will have extensive experience in medical accounts receivable, insurance follow-ups, denial management, and claims resolution, preferably within a dermatology practice.

This role requires a proactive professional who can efficiently manage aging accounts, resolve unpaid and underpaid claims, navigate insurance payer portals, and maximize reimbursement. The successful candidate must have hands-on experience with ModMed (Modernizing Medicine) and a strong understanding of medical billing processes, insurance guidelines, and revenue cycle management.

Key Responsibilities

Accounts Receivable Management

• Review and manage daily AR aging reports, prioritizing outstanding claims based on age, balance, and payer requirements.
• Conduct follow-ups on 60+ unpaid or underpaid claims daily to ensure timely resolution and reimbursement.
• Investigate outstanding balances, payment discrepancies, and delayed claims.
• Monitor aging accounts and implement effective strategies to reduce outstanding receivables.
  
  

Insurance Follow-Up & Claims Resolution

• Contact insurance companies through phone calls and payer portals to verify claim status and resolve payment issues.
• Research, correct, and resubmit denied, rejected, or incorrectly processed claims.
• Prepare and submit appeals and reconsideration requests with complete supporting documentation.
• Navigate insurance portals, including Availity, UnitedHealthcare, and Cigna, for claims inquiries, eligibility verification, and appeals.
• Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify payment discrepancies and denial reasons.
  
  

Denial Management & Revenue Cycle Support

• Identify recurring denial patterns, investigate root causes, and recommend corrective actions.
• Collaborate with billing teams, coders, and healthcare providers to resolve coding and documentation discrepancies.
• Apply knowledge of CPT codes, ICD-10 codes, modifiers, and payer-specific billing requirements.
• Support initiatives to improve collections, minimize claim denials, and optimize revenue cycle performance.
  
  

Documentation & Reporting

• Maintain accurate and detailed records of claim follow-ups, payer communications, appeals, and resolutions in ModMed.
• Track outstanding claims and ensure timely follow-up within payer filing and appeal deadlines.
• Provide regular updates on AR performance, unresolved claims, and denial trends.
• Ensure compliance with HIPAA regulations, payer guidelines, and established billing procedures.
  
  

Qualifications

• Minimum of 2 years of experience in medical accounts receivable, insurance follow-up, or denial management, preferably in dermatology.
• Hands-on experience using ModMed (Modernizing Medicine) for medical billing and AR management.
• Proven ability to manage aging AR reports, resolve denied claims, and process insurance appeals.
• Strong knowledge of medical billing, CPT codes, ICD-10 codes, modifiers, and EOB/ERA interpretation.
• Proficiency in insurance payer portals, particularly Availity, UnitedHealthcare, and Cigna.
• Experience handling high-volume insurance follow-ups, ideally 60 or more claims per day.
• Comfortable communicating extensively with insurance representatives over the phone.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to work independently, manage competing priorities, and consistently meet productivity targets.
• High level of accuracy, attention to detail, and commitment to timely claims resolution.
• Certified Professional Biller (CPB) or equivalent medical billing certification.
• Previous experience supporting a US-based dermatology practice or specialty healthcare provider.
• Familiarity with dermatology-specific procedures, billing codes, and common insurance denial reasons.
• Experience working in a fast-paced, high-volume revenue cycle management environment.
• Demonstrated success in reducing AR aging, improving collections, and resolving complex insurance denials.
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.
  
  

Perks

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary
  
  

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