AR Specialist I

AR Specialist l

Company Overview

At Dermatologists of Central States (DOCS), we are not just one of the largest dermatology practices in the nation; we are a dedicated community passionate about skin health! With more than 200 providers across 20 practice brands and 100+ locations in 10 states, we’ve been transforming the lives of our patients for more than 40 years. Our mission is clear: to prioritize our patients with outstanding medical, surgical, and cosmetic dermatology services, all delivered in a friendly, convenient, and compassionate environment.

Summary

The Accounts Receivable Specialist I is primarily responsible for following up with insurance companies, diagnosing claim denials, escalating denial trends to RCM leadership, and processing self-pay billing. This role will directly communicate with insurance payers on claims that require additional review, reconsideration or appeals.

Job Responsibilities

• Ensure that claims are paid and processed accurately and in a timely manner.
• Follow up on open claims, resolve denials, and correct and reprocess claims when needed.
• Maintain documentation throughout the claims process according to department policies (i.e. corrective actions, reference numbers, next actions).
• Collaborate with the AR team to identify root causes and address denial trends
• Write off uncollectable accounts and maintain compliance with all applicable policies and procedures
• Collaborate with the Billing Customer Service Team when patients request assistance with their accounts.
• Partner with clinical team members to obtain additional information as it relates to claims.
• Receive, respond to, and clearly document all incoming account inquiries.
• Continually meet productivity standards set by management.
• Adhere to DOCS policies and standards.
• Other duties as assigned.
  
  
  

Benefits

• Our benefits package includes medical, dental, and vision insurance, 401k matching, company paid life insurance, employee assistance program, and paid time off.
  
  
  

Minimum Qualifications

• High School Diploma or equivalent required.
• Experience in using billing software and electronic health record systems required.
• Knowledge of medical insurance plans required.
• Knowledge of all medical billing, insurance guidelines, and appeals process preferred.
• Knowledge of healthcare EDI transactions and experience working with healthcare clearinghouses preferred.
  
  
  

Skills And Abilities

• Strong analytical and problem-solving skills.
• Ability to develop and maintain positive, professional, service-oriented working relationships with senior leadership, patients, physicians, and other co-workers.
• Ability to work independently and proactively while prioritizing varied requests and tasks.
  
  
  

Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the responsibilities of this job. While performing the duties of this job, the employee is regularly required to sit, talk, hear, and use wrists, hands, and/or fingers to perform computer work. Specific vision abilities required to this job include close vision, distance vision, depth perception, and ability to adjust focus.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status