A/R Representative - Maitland, FL

Advanced Dermatology and Cosmetic Surgery•Maitland, FL

About The Position

Advanced Dermatology and Cosmetic Surgery is seeking an Accounts Receivable Representative to support the Revenue Cycle Department. The role ensures insurance claims are processed and paid in a timely and effective manner while maintaining accuracy and productivity. The representative provides medical billing support to providers and responds to patients with care and compassion. The position is based in Maitland, Florida; a hybrid work arrangement may be available after the introductory and training period, contingent on proven and sustained performance.

Requirements

  • High school diploma or GED.
  • At least one year of experience in a medical billing office; experience with insurance, managed care, Medicare, and Medicaid is required. Two years of experience is preferred.
  • Computer experience related to business office functions, including Microsoft Office Suite programs.
  • Excellent organizational skills.
  • Ability to manage time efficiently, prioritize, multitask, and adapt to change.
  • Ability to maintain confidentiality and follow HIPAA regulations when handling patient information.
  • Ability to practice professional ethics and use discretion concerning organizational directives and proprietary information or trade secrets.
  • Ability to recognize problems and solve them effectively, seeking management guidance when appropriate.
  • Ability to maintain a high level of accuracy in documentation and job duties.
  • Ability to deal effectively and professionally with outside vendors and insurance representatives.

Nice To Haves

  • Two years of experience in a medical billing office.
  • Typing/keyboarding speed of 25 words per minute or greater.
  • Knowledge of medical terminology and ability to use it appropriately.

Responsibilities

  • Review billing reports and confirmations, and track daily claims activity.
  • Analyze denials, resolve issues, appeal determinations when needed, and flag accounts as appropriate.
  • Initiate and work up refund requests for overpayments.
  • Answer patient questions about plan issues as needed.
  • Follow assigned plan guidelines for pre-certification requirements and claim filing and appeals procedures.
  • Monitor claim submissions and immediately report problems to management.
  • Perform other duties or special projects as required or assigned by management.

Benefits

  • Benefits packages for eligible full-time employees.
  • PTO, six paid holidays, a floating holiday, and vacation time.
  • 401(k).
  • Hybrid work arrangement after the introductory and training period, based on proven and sustained performance.
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