Accounts Receivable Specialist

Accounts Receivable Specialist

Apex Skin is a physician-led and rapidly growing dermatology practice committed to delivering exceptional patient experiences. We are seeking a talented and motivated Accounts Receivable Specialist to support our revenue cycle operations and ensure accurate and timely processing of insurance claims.

This role includes reviewing and submitting claims, managing A/R aging and denials, processing appeals and claim resubmissions, resolving coordination of benefits (COB) issues, and communicating with patients and insurance companies regarding account and billing questions. The ideal candidate demonstrates strong knowledge of medical billing and insurance processes, attention to detail, effective communication skills, and the ability to manage multiple priorities in a fast-paced environment.

Schedule: Full-time Monday through Friday 7:30 AM – 4:00 PM or 8:00 AM – 4:30 PM Hybrid flexibility may be available based on departmental needs

Essential Functions:

• Manage assigned A/R accounts and work aging reports to ensure timely claim resolution
• Manage high volumes of claim denials, ensuring timely review, correction, and resubmission to maximize reimbursement.
• Review, scrub, and analyze electronic and paper insurance claims prior to submission
• Resolve claim rejections from clearing houses or payors within established timeframes
• Handle denials, appeals, coordination of benefits (COB) claims, and resubmissions
• Work directly within insurance portals to verify claim status and submit required documentation
• Generate and submit CMS-1500 forms when necessary
• Follow up on unpaid claims and maintain detailed documentation for audit trail purposes
• Communicate with insurance companies regarding claim discrepancies and payment delays
• Partner with assigned office locations (4–5 sites) to resolve claim questions and documentation gaps
• Work collaboratively with coders, billers, medical records, and revenue cycle team members
• Respond to patient inquiries related to account statements and explanations of benefits (EOBs)
• Submit invoices, medical records, and supporting documentation to payors as required
• Meet quarterly performance scorecard metrics, which vary quarterly depending on departmental expectations
• Maintain professionalism, punctuality, and timely communication with internal stakeholders
• Perform additional duties as assigned to support the revenue cycle team
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Qualifications:

• Billing certification or formal billing education preferred
• High school diploma required; additional education in healthcare administration or billing is preferred
• Minimum of five (5) years of billing and collections experience in a clinic or physician practice setting
• Strong knowledge of medical billing processes, A/R principles, ICD-10 and CPT coding
• Experience handling denials, appeals, and insurance follow-up
• Working knowledge of Medicare, Medicaid, and commercial insurance plans
• Proficiency navigating insurance portals and electronic claim systems
• Experience working within an EMR or practice management system; ModMed experience is preferred
• Proficiency in Microsoft Office, Outlook, and Microsoft Teams
• Strong time management skills with the ability to manage high claim volumes (800–900 cases)
• Excellent written and verbal communication skills
• Demonstrated reliability, follow-through, and workflow adherence

Career Growth Opportunities:

• Motivated A/R Specialists may pursue:
• Revenue Cycle Lead or Senior A/R Specialist roles
• Billing Supervisor or Revenue Cycle Management pathways
• Cross-training in coding, compliance, or financial analytics
• Process improvement and workflow optimization initiatives
• Apex Skin provides training, mentoring, and development opportunities for individuals who demonstrate skill, reliability, accountability, and financial accuracy.

Physical Requirements & Work Environment:

• Prolonged periods of sitting and working at a computer
• Frequent use of hands and fingers for typing and navigating electronic systems
• Ability to occasionally stand, walk, bend, or lift up to 20 pounds (files or office materials)
• Visual acuity sufficient to review detailed financial data and claim documentation
• Work performed in a professional corporate office or hybrid setting
• Frequent interaction with internal departments, insurance representatives, and patients
• Requires sustained attention to detail, focus, and independent problem-solving
• Must adhere to HIPAA, OSHA, and Apex Skin privacy and safety standards

Apex Skin Culture:

Apex Skin fosters a collaborative, patient-first environment built on compassion, clinical excellence, and teamwork. We believe in a respectful and supportive workplace where employees feel valued, trusted, and empowered to contribute to exceptional patient experiences and meaningful clinical care.

Employee Health & Safety Requirements:

All patient-facing employees are required to provide proof of a TB test within the past 12 months and an annual flu vaccination as part of Apex Skin's employee health and safety protocols. The Hepatitis B vaccination series is also strongly recommended for clinical staff due to potential occupational exposure risks. Apex Skin complies with federal and Ohio law by providing reasonable accommodations for medical conditions or sincerely held religious beliefs that prevent vaccination. Employees seeking an accommodation should contact Human Resources for more information.

Equal Employment Opportunity Statement:

Apex Skin provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Apex complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.