Accounts Receivable Specialist (Hybrid)

Apex Dermatology and Skin Surgery Center LLC•Beachwood, OH

2d•Hybrid

About The Position

Apex Skin is a physician-led and rapidly growing dermatology practice committed to operational excellence and exceptional patient experiences. We are seeking a detail-oriented and accountable Accounts Receivable (A/R) Specialist to support our revenue cycle operations. This role is responsible for managing A/R aging, claim denials, appeals, and resubmissions while ensuring accurate and timely reimbursement from insurance carriers. The A/R Specialist works closely with assigned office locations, third-party billing partners, providers, and patients to resolve claim issues and maintain strong financial workflows. The ideal candidate demonstrates strong follow-through, urgency, attention to detail, and clear communication skills. Success in this role requires comfort working within insurance portals, managing large claim volumes, and meeting quarterly scorecard performance goals.

Requirements

High school diplomarequired;additionaleducation 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-10and CPT coding
Experience handling denials, appeals, and insurance follow-up
Working knowledge of Medicare, Medicaid, and commercial insurance plans
Proficiencynavigating insurance portals and electronic claim systems
Experience working within an EMR or practice management system; ModMed experience is preferred
Proficiencyin 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

Nice To Haves

Billing certification or formal billing education preferred
Experience working within an EMR or practice management system; ModMed experience is preferred

Responsibilities

Manage assigned A/R accounts and work aging reports to ensuretimelyclaim resolution
Manage high volumes of claim denials, ensuringtimelyreview, correction, and resubmission to maximize reimbursement.
Review, scrub, and analyze electronic and paper insurance claims prior to submission
Resolve claim rejections fromclearing housesor payors within establishedtimeframes
Handle denials, appeals, coordination of benefits (COB) claims, and resubmissions
Work directly within insurance portals to verify claim status andsubmitrequired documentation
Generate andsubmitCMS-1500 forms when necessary
Follow up on unpaid claims andmaintaindetailed documentation for audit trail purposes
Communicate with insurance companiesregardingclaim 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 asrequired
Meet quarterly performance scorecard metrics, which vary quarterly depending on departmental expectations
Maintain professionalism, punctuality, andtimelycommunication with internal stakeholders
Performadditionalduties as assigned to support the revenue cycle team
Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions