Company Overview
DOCS Dermatology (DOCS) is one of the largest and most established dermatology practices in the nation. We have been serving patients for over 40 years with more than 186 providers and 80+ locations in 7 states. At DOCS, we strive to put the patient first with an emphasis on medical, surgical, and cosmetic dermatology. We provide easy access to high quality dermatologic care in an environment that is consistently friendly, convenient, courteous, and caring.
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.
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.
