Water's Edge Dermatology Palm Beach Gardens , FL 33418
Posted 2 months ago
Water's Edge Dermatology, an AQUA Dermatology portfolio practice, is Florida's largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology.
We are seeking an Insurance Collections Specialist/Accounts Receivable Specialist who is responsible for collecting monies owed on the Accounts Receivable by insurance carriers or private paying patients for the practice.
ESSENTIAL FUNCTIONS
Stays abreast of all policy and payer changes affecting their assigned payers, as well as maintaining a working knowledge of the payer's portals and software.
Review Accounts Receivable aging and contact insurance companies to determine the status of overdue and outstanding insurance claims to resolve claims in a timely manner.
Identifies key issues and takes appropriate action to ensure revenue maximization on individual accounts.
Thoroughly & completely documents accounts with collection activity, including reference numbers and information to describe their collection efforts as well as pending outcomes.
Review all denied claims for appeals, reconsideration, or resubmission. All should be completed with the necessary documentation and description to facilitate prompt payment.
Review and resolve rejected claims in the clearinghouse.
Prints and sends claim forms and statements or processed through EDI as requested.
Follows up on a regular basis on all prior appeals pending, and documents account accordingly.
Contacts insurance companies via phone when written appeals and websites don't offer results.
Keeps team lead and supervisor updated with any recurring issues that need to be resolved at a higher level.
Establishes/maintains effective communications with the leadership team to ensure that all third-party guidelines are met.
Ability to write routine reports and correspondence.
Comply with federal and state laws and regulations pertaining to patient care rights and billing and collections.
Other duties as assigned
We offer competitive salaries and benefits:
Medical, Dental, and Vision available after 30 days of hire
Short-term disability and life insurance, and many ancillary options.
401k available after 90 days of hire
Excellent growth and advancement opportunities
Discounts on employee services
POSITION TYPE AND EXPECTED HOURS OF WORK
Full-Time
Monday
TRAVEL
Travel is not expected for this position.
QUALIFICATIONS
Education
Experience
Communication
Work Style
Founded in 1998, AQUA Dermatology is the Southeast's premier dermatology practice with over 100 locations throughout Florida, Alabama, and Georgia. Our established practices and experienced physicians offer patients the highest quality outcomes and an exceptional patient experience. From common rashes to skin cancer treatments, plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!
Water's Edge Dermatology