QualDerm Partners

**Lab Services** - Serve as the primary revenue cycle liaison and strategic business partner to laboratory leadership, pathology providers, and specialized service line stakeholders. - Provide leadership and oversight of the laboratory and specialized service line accounts receivable follow-up team, ensuring timely resolution of outstanding claims and optimization of collections performance. - Develop, lead, and mentor the laboratory revenue cycle team while establishing performance expectations, accountability measures, and professional development opportunities. - Develop, monitor, and present KPI reporting to laboratory leadership, including Days in AR, denial trends, cash collections, reimbursement performance, turnaround times, and other key operational metrics. - Lead revenue cycle integration efforts for laboratory acquisitions, practice onboarding, and system conversions, including transitions from legacy EHR and billing platforms. - Partner with Revenue Cycle Leadership, Information Technology, Compliance, Finance, and Clinical Operations to identify and resolve operational issues impacting reimbursement, patient satisfaction, and overall financial performance. - Identify opportunities to improve operational workflows, reduce revenue leakage, and standardize laboratory revenue cycle processes across the organization. - Monitor payer performance and reimbursement trends and implement corrective action plans to improve financial outcomes. **Data Analytics & Performance Improvement** - Use data analytics to identify trends, risks, and opportunities related to revenue capture and reimbursement - Lead performance improvement initiatives that enhance charge capture accuracy and operational efficiency - Utilize data analytics to identify trends, reimbursement risks, denial patterns, and opportunities to improve laboratory revenue cycle performance. - Develop executive-level dashboards and KPI reporting that provide actionable insights for laboratory leadership and executive stakeholders. - Lead performance improvement initiatives that improve AR productivity, reimbursement outcomes, denial resolution, and operational efficiency. - Analyze revenue cycle metrics and recommend strategic process improvements that support organizational growth and scalability. **Collaboration & Clinical Partnership** - Collaborate with physicians, laboratory leadership, practice operations, Compliance, Finance, Information Technology, and Revenue Cycle leaders to improve documentation, charging practices, reimbursement, and operational effectiveness. - Support organizational growth through standardization of laboratory revenue cycle processes and best practices. - Serve as the subject matter expert for laboratory revenue cycle operations, reimbursement methodologies, coding support, and financial performance. - Build collaborative partnerships across departments to resolve complex revenue cycle issues and support enterprise initiatives affecting laboratory and specialized service lines. **Leadership & Team Development** - Lead, mentor, and develop a high-performing laboratory revenue cycle team focused on operational excellence and customer service. - Foster a culture of accountability, collaboration, continuous improvement, and professional growth. - Support workforce planning, succession planning, performance management, and employee development initiatives. - Lead organizational change efforts related to process improvements, technology implementations, and revenue cycle optimization initiatives.

Role Description The Director, Accounts Receivable, Laboratory & Specialized Services provides strategic and operational leadership for the laboratory and specialized service line accounts receivable (AR) function. This role is responsible for: - Optimizing AR follow-up processes - Resolving complex reimbursement issues - Improving collections performance - Reducing aging receivables - Driving operational excellence through KPI management, data analytics, and process improvement As the primary accounts receivable partner to laboratory leadership and pathology providers, the Director develops and executes strategies to: - Improve reimbursement outcomes - Reduce outstanding AR - Minimize revenue leakage related to unresolved claims - Enhance operational efficiency This role collaborates closely with Revenue Cycle Leadership, Finance, Information Technology, Compliance, and other RCM leaders to: - Streamline AR workflows - Leverage data-driven insights - Support system implementations - Improve financial performance across laboratory and specialized service lines The Director serves as the subject matter expert for laboratory and specialized service line accounts receivable operations, providing strategic leadership through: - Performance analytics - KPI reporting - Process optimization - Continuous improvement initiatives Qualifications - Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare - Minimum of 5 years of leadership experience managing revenue cycle teams - Minimum of 3 years of experience in a large pathology laboratory setting - Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines - Demonstrated success leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance - Experience leading revenue cycle optimization initiatives within a multi-site healthcare organization - Proven ability to lead large-scale operational improvement and system implementation projects Requirements - Advanced knowledge of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies - Experience with XiFin Practice Management strongly preferred - Experience with ModMed or comparable electronic health record and practice management systems preferred - Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations - Advanced Microsoft Excel and reporting capabilities Leadership Competencies - Strategic leadership and executive presence - Financial and operational acumen - Strong analytical and problem-solving skills - Change management and process improvement expertise - Exceptional communication and relationship-building skills - Ability to influence cross-functional stakeholders and executive leadership - Strong organizational and project management skills Benefits - Competitive Pay – Attractive compensation to reward your hard work - Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered - Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting - Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year - Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans - Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances - Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security - Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges - Exclusive Employee Discounts – Save on products and services with special discounts just for you - Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team Company Description QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States on a full-time basis.

Accounts Receivable Specialist - Remote Remote Administrative Support, RCM Full time 3126095 United States OverviewApplication Description With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Position Summary This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome. The Accounts Receivable Specialist is responsible for all day-to-day billing, claims issues, denials and follow-up for their assigned region/locations. Position proactively researches, identifies, and rectifies any circumstance affecting delayed submission or payment of accounts. Position communicates accounts receivable issues proactively to management to ensure compliance and accuracy. Position performs various administrative and clerical duties needed to support revenue cycle functions as needed. Position reports to the Manager, Accounts Receivable and/or Senior Director, Credentialing and Revenue Cycle. Essential Responsibilities - Ability to identify the cause of claim denials and resolve them, with minimal assistance. - Analyze problems and report trends related to denials and payer trends. - Follow up on unpaid claims within standard billing cycle timeframe. - Prepare and submit corrected/replacement claims, reconsiderations, appeals, medical documentation and other necessary documents to payers via fax, provider portals, etc. - Make outbound calls to payers to resolve claims and payment issues. - Ensure the patient’s medical information is accurate and up to date. - Meets productivity requirements as established by organization and external benchmarks. - Provides necessary reporting and communication of any accounts receivable issues directly - to the team lead. - Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax. - Provide team lead with administrative assistance when needed including assisting with internal/external audits. - Maintains current knowledge in regards policies and guidelines for all payers. - Adheres to Code of Conduct and Mission & Values Statement. - In addition to the above job responsibilities, other duties and projects maybe assigned Requirements - High School graduate or equivalent. - Education in medical billing or hold medical billing certification preferred. - Mod Med/EMA practice management system experience is a plus. - Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10). - Must be highly professional and an effective communicator. - Detail and results oriented, self-starter with a positive attitude - Be able to multitask, prioritize, and manage time efficiently while in a remote working environment. - Eagerness to learn and adapt quickly in a changing environment. - Ability to maintain a high level of integrity and confidentiality of medical information Benefits Benefits of joining Qualderm Partners: - Competitive Pay – Attractive compensation to reward your hard work - Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered - Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting - Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year - Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans - Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances - Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security - Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges - Exclusive Employee Discounts – Save on products and services with special discounts just for you - Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team Compensation Range: $17.99 - $32.14 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

Role Description The Credentialing Specialist is responsible for overseeing all aspects of the credentialing, re-credentialing, payer enrollment, and privileging processes for all providers in an assigned region. The Credentialing Specialist will develop strong relationships with regional operational leaders to ensure proactive communication on credentialing and recredentialing requirements while ensuring that credentialing is complete in advance of services being rendered under contracted and enrolled health plans. The Credentialing Specialist will be responsible for implementing standardized processes and capturing data for each provider in QualDerm's credentialing databases and online systems for utilization across multiple stakeholder groups. Essential Duties and Responsibilities - Oversee all aspects of Provider Credentialing and Payer Enrollment with third party payers and hospital/health system partners for assigned region. - Assure compliance with all health plan requirements as related to provider certification and credentialing. - Meet with assigned region operational leadership on a routine basis to ensure timely onboarding of new providers and that all credentialing needs are met. - Manage processes that maintain up-to-date data for each provider in credentialing databases and online systems. - Ensure timely renewal of licenses, certifications, and credentialing. - Maintain confidentiality of provider information. - Assist in managing the flow of information between payers, contracted PHOs, ACOs, and other QualDerm networks. - Coordinate and prepare management reports for assigned regions. - Manage continual process and quality improvement efforts related to payer enrollment, data entry, credentialing committees, and all aspects related to credentialing & enrollment. - Participate in the training of new Credentialing & Enrollment team members. Qualifications - Bachelor’s degree in related field preferred. - Minimum of three (3) years’ experience in managed care credentialing or medical staff service setting required. - National or multi-state credentialing experience preferred. - Demonstrated skills in analysis, problem solving, and resolution. - Ability to communicate appropriately and effectively with practitioners and providers, including sensitive and confidential information. - Strong knowledge of NCQA, Joint Commission, URAC, CMS, and State Laws and regulations as they pertain to the credentialing of QualDerm providers. - Prioritize and meet deadlines on an ongoing basis to ensure timely completion according to process requirements. - Must be able to function independently in a matrix environment. Benefits - Competitive Pay – Attractive compensation to reward your hard work. - Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered. - Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting. - Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year. - Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans. - Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances. - Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security. - Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges. - Exclusive Employee Discounts – Save on products and services with special discounts just for you. - Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team. Company Description QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with 150+ locations in 17 states. We are united in our purpose: to educate, protect, and care for your skin. Our mission is to educate communities and healthcare professionals about the importance of skin health, including skin cancer prevention and how to achieve healthy skin through annual skin exams and dermatologic care.

Role Description We are currently seeking a highly disciplined, self-motivated Remote Central Scheduling Specialist to support a fast-paced group of dermatology practices. This role is ideal for someone who thrives in a high call volume environment, follows strict schedules, and requires minimal supervision to stay productive and focused throughout the day. - Remote Position: Candidates must reside within a reasonable driving distance of Lombard, IL. - Hours Scheduled: Mon-Thurs 9:30am-6pm / Fridays 8am-5pm - This is not a casual remote role — success in this position requires strong time management, reliability, and the ability to stay engaged during continuous inbound and outbound calls. - Make an impact: Working together we can ensure the best possible relationship and care for our patients. - Learn and grow: We’re committed to growing the capabilities of our people. Qualifications - Minimum of 1 year medical insurance verification experience required. - High School Diploma required; Associate's Degree preferred. - Minimum of 1 year customer service experience in a healthcare setting preferred. - Strong communication and interpersonal skills. - Ability to manage multiple tasks efficiently in a fast-paced environment. - Proficiency in scheduling software and Microsoft Office applications. - Understanding of HIPAA regulations is a plus. Benefits - Retirement Plans - Medical, Dental and Vision Coverage, for full-time staff - Paid Time Off - Paid holidays - Competitive Salary Company Description QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

• The RCM Reporting and Analytics Specialist is responsible for establishing revenue cycle performance reports and analytics on functional performance, key performance indicators and other metrics. • Prepares ad hoc reports as requested by the Vice President of Revenue Cycle or other organizational leaders. • Prepare quarterly, monthly, and weekly reports as required by Revenue Cycle Leadership. • Identifies performance trends and opportunities related to revenue cycle performance, efficiency and automation, including but not limited to monitoring of Revenue Cycle systems, identifying root cause, documenting processes and related issues, and recommending improvements, and participating in and/or leading improvement initiatives. • Perform analysis to trend and to identify RCM impacting factors and provide clear explanations of meaningful variances to operations and management. • Prepare ad-hoc analysis for management, physicians, and investors as needed. • Prepare reports and presentations as requested by RCM leadership. • Analyze and report on the effects of proposed federal and state statutes and regulatory actions that may impact long term financial planning. • Collaborate with other departments to transform data and metrics into digestible and actionable presentation materials. • Communicate with all team members in a courteous, professional, cooperative, and mature manner. • Treats staff, physicians, visitors, and patients with dignity and respect. • Adheres to Code of Conduct and Mission & Value Statement. • Participates in special projects as needed.

• Serves as first point of contact for incoming billing customer service calls. • Provides optimum customer service, including quality assurance, for all patient inquiries. • Answer high-volume incoming communications from customers/patients. • Returns all phone messages within 24 hours of receipt. • Must be able to deal diplomatically with complaints and function well under pressure. • Utilize resources and conduct research to troubleshoot and resolve patient issues. • Reviews patient account data when interacting with patients to ensure that accurate information regarding patients’ insurance and demographic information are correctly reflected on the patient’s account. • Updates insurance and demographic information as necessary on patient accounts. • Accurately documents patient accounts of all actions taken. • Set up payment plans and take credit card payments over the phone. • Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax. • Participates in special projects as needed. • Maintains regular and predictable attendance. • Adheres to Code of Conduct and Mission & Value Statement. • In addition to the above job responsibilities, other duties maybe assigned.

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Position Summary This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome. This position completes tasks associated with posting, adjusting, and monitoring patient accounts receivables. Position proactively researches, identifies, and rectifies any circumstance affecting delayed submission or payment of accounts. Position communicates accounts receivable issues proactively to management to ensure compliance and accuracy. Position performs various administrative and clerical duties needed to support revenue cycle functions as needed. Position reports to the Supervisor, Payment Posting and/or Director, Cash Management. Essential Responsibilities - Reconciles bank deposit daily. Uses daily bank deposit to verify all deposited amounts are in the clearing house or on a paper remit to be posted. - Effectively lead and oversee the Payment Posting Team for your assigned region. - Review and monitor workflows to manage and maintain an efficient cash application process. - Provide new hire training and continuing education for your team. - Meets productivity requirements as established by organization and external benchmarks - Assist in the identification and correction of posting errors. - Run reports as requested or required by management. - Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner. - Ensures completion of End of Month Closing activities - Proactively engages other operational personnel to review and resolve issues as needed. - Participate in team meetings and provide assistance and coaching to other team members. - Provide day-to-day support to the team as well as management, including backup in all functions of the department when needed. - Ensure all lockbox files are received on a regular and timely basis. - Review outstanding account balances for collections. - Assist in setting up Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) for Commercial and Medicare payors. - Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax. - Adheres to Code of Conduct and Mission & Value Statement.

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Position Summary This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome. This position completes tasks associated with posting, adjusting, and monitoring patient accounts receivables. Position proactively researches, identifies, and rectifies any circumstance affecting delayed submission or payment of accounts. Position communicates accounts receivable issues proactively to management to ensure compliance and accuracy. Position performs various administrative and clerical duties needed to support revenue cycle functions as needed. Position reports to the Supervisor, Payment Posting and/or Director, Cash Management. Essential Responsibilities - Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner, balancing to the bank deposit daily. - Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment. - Call, chat, email insurances to resolve payments/offset questions - Check websites for additional information to resolve payments/offset issues - Work on recoupment accounts to resolution. - Research and resolve insurance overpayments and credits. - Processes patient refund requests and manages refund register. - Assists with monthly close functions including month end balancing. - Review all remittance advices for accuracy to identify errors or questionable data. Manages time to complete work in timely manner and be a team player. - Meets productivity requirements as established by organization and external benchmarks. - Proactively engages other operational personnel to review and resolve issues as needed. - Provides professional assistance for patient billing calls. - Keep up-to-date with current with payer guidelines and reimbursement policies (basic knowledge). - Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax. - Adheres to Code of Conduct and Mission & Value Statement.

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you!  Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. Purpose: This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome. The position serves patients and visitors by answering phones, assisting patients with registration and intake, scheduling appointments and taking payments over the phone and in person. This position is supervised by the Lead, Customer Service and/or Manager, Customer Service. Essential Duties and Responsibilities: - Serves as first point of contact for incoming billing customer service calls. - Provides optimum customer service, including quality assurance, for all patient inquiries. - Answer high-volume incoming communications from customers/patients. - Returns all phone messages within 24 hours of receipt. - Must be able to deal diplomatically with complaints and function well under pressure. - Utilize resources and conduct research to troubleshoot and resolve patient issues. - Reviews patient account data when interacting with patients to ensure that accurate information regarding patients’ insurance and demographic information are correctly reflected on the patient’s account. - Updates insurance and demographic information as necessary on patient accounts. - Accurately documents patient accounts of all actions taken. - Set up payment plans and take credit card payments over the phone. - Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax. - Participates in special projects as needed. - Maintains regular and predictable attendance. - Adheres to Code of Conduct and Mission & Value Statement. - In addition to the above job responsibilities, other duties maybe assigned.