AR Specialist (remote)

Anne Arundel Dermatology is seeking a full-time Accounts Receivable Specialist (AR Specialist) to join our Revenue Cycle team. This remote position is responsible for insurance follow-up, denial resolution, appeals, and collections activities related to open accounts receivable. Ideal candidates will have experience working insurance denials, identifying denial trends, analyzing EOBs and remits, and communicating directly with commercial and government payers to maximize reimbursement. Candidates should also be comfortable identifying common coding-related denial issues, recognizing modifier-related denial trends, and collaborating with coding resources when additional review is needed.

• 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.
• 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. 

• 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