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AR Specialist
Anne Arundel Dermatology. Perform insurance follow-up and collections activities, including telephone calls and accessing payer websites .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare accounts receivable and revenue cycle management, with a strong focus on insurance denial resolution, claims follow-up processes, and compliance with billing guidelines. Proficient in analyzing claims and EOBs to drive process improvements and maintain productivity in a remote work environment.
Highest-signal resume keywords
Healthcare Accounts ReceivableInsurance Denial ResolutionClaims Follow-Up ProcessesEOB AnalysisBilling Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Follow-UpDenial CategorizationClaims AdjudicationModifier-Related DenialsPayment ResearchClaims EditingRevenue Cycle ManagementPayer-Specific Billing RequirementsProcess ImprovementDocumentation Accuracy
Soft Skills
Attention to DetailOrganizational SkillsEffective Communication
Industry Keywords
HealthcareRevenue CycleInsurance PayersGovernment PayersCommercial PayersRemote WorkProductivity ExpectationsBilling Compliance Guidelines
About the role
Key responsibilities & impact- Perform insurance follow-up and collections activities, including telephone calls and accessing payer websites
- Identify root causes of denials, categorize denial reasons, and coordinate process improvements with clinics and management
- Apply basic understanding of coding-related denials in procedural specialties
- Own performance and communicate consistently and timely about reimbursement issues
- Resolve complex or aged inventory, including payment research and payment recoups
- Document collection activity accurately and thoroughly
- Review account information and system applications to determine the next work activity
- Verify claims adjudication using appropriate resources and applications
- Contact patients by telephone, electronically, or by letter to obtain additional information
- Edit claims to satisfy billing compliance guidelines for electronic submission
- Manage and maintain individual work lists/inventory, complete reports, and resolve high-priority and aged inventory
- Stay informed about procedure and law changes for specific insurance carriers or payers
- Communicate payer, system, and escalated account issues to management and develop solutions
- Perform other duties assigned by management
Requirements
What you’ll need- 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
- Residency within Pennsylvania, Maryland, Virginia, North Carolina, Tennessee, Georgia, or Florida
Benefits
Comp & perks- Continual training and education
- Intensive hands-on training
- Long-term career growth opportunities from within
- Medical, Dental & Vision insurance – effective 1st of the month after date of start
- Short-term and long-term disability
- Voluntary life insurance for employee, spouse, and child
- Critical Illness insurance
- Hospital Indemnity insurance
- Company-provided Basic Life/AD&D insurance
- Paid time off
- Paid holidays
- Retirement Savings account
- Employee discount on cosmetic services and products