Optima Dermatology logo
Optima Dermatology

At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to set the new standard in dermatology. We are growing rapidly and looking for key team members who believe in our mission and want to make a difference in the lives of our patients. We foster a collaborative environment that is fun and hardworking and promise you will work alongside amazing colleagues you are proud to call your teammates.

Accounts Receivable Specialist

Location

United States

Posted

1 day ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Accounts Receivable Specialist

Optima Dermatology

Role Description Optima Dermatology is recruiting a full time RCM Accounts Receivable Specialist to join our Practice Support Center, based in Portsmouth, NH. Remote opportunities available for residents of ME, NH, MA, IN, OH, FL, NC. The Accounts Receivable Specialist is responsible for resolving aging claims, working denials, overseeing secondary claims, and collaborating closely with other revenue cycle teams to ensure timely and accurate resolution of accounts. This position also involves patient account management, requiring strong communication and critical thinking skills. Responsibilities - Claims Management (Accounts Receivable): - Review and resolve rejected claims, ensuring accuracy and meeting deadlines. - Research and validate posted payments and adjustments, correcting discrepancies as needed. - Post EOBs, payments, and adjustments as required to resolve outstanding claims. - Process correspondence to resolve open A/R balances for assigned providers, payers, and claims. - Analyze denials and underpayments to determine if appeals or other resolutions are necessary. - Identify and communicate denial and payment trends to improve billing procedures. - Collaborate with payers, EDI, and payment posting teams to address systemic issues and streamline processes. - Resubmit claims to secondary/tertiary payers as needed. - Maintain accurate logs of payer interactions and unresolved balances. - Utilize provider portals and payer resources to research and resolve claim processing issues. - Manage incoming calls from insurance companies regarding claims and requests for additional documentation to process submitted claims. - Understand and interpret insurance Explanations of Benefits (EOBs). - Patient Accounts Management: - Provide excellent customer service, assisting patients with billing inquiries, account balances, and financial responsibilities. - Manage incoming patient calls efficiently, resolving concerns, and escalating issues as needed. - Assist clinical and operational staff with patient demographics, scheduling, and referrals. - Educate patients on cost and payment options for services. - Analyze and resolve patient account billing issues through communication with patients, insurance providers, and healthcare systems. - Demonstrate effective call handling, including deescalating patients, by managing incoming patient calls via the phone queue. - Verify insurance eligibility and benefits as needed using automated eligibility systems, payer websites, and/or calls to the insurance carriers. - General and Administrative: - Keep management informed about backlogs, time availability, and unresolved concerns. - Maintain set standards, metrics, all KPIs and ensure individual and departmental goals are met. - Accurately document patient accounts and all actions taken. - Respond promptly to emails, voicemails, and assigned tasks. - Maintain a thorough understanding of the practice management system and electronic medical records (EMR). - Function as a resource to answer questions promptly and accurately. - Work as a collaborative team member within a distributed organization. - Participate in revenue cycle projects and contribute to departmental goals. - Work assigned intradepartmental and interdepartmental inquiries within a timely manner. - Follow all HIPAA guidelines and comply with annual training. - Demonstrate our values in interactions, empathy, and sensitivity towards patient/family rights. - Other duties assigned by the Supervisor, Manager, or Director. Qualifications - Minimum of 3 years in healthcare reimbursement preferred. - Knowledge: - CPT and ICD-10 coding. - Payer billing guidelines, submission, and remittance processes. - HCFA 1500 forms and Explanation of Benefits (EOBs). - Skills: - Strong problem-solving, prioritization, and follow-through abilities. - Excellent interpersonal and communication skills, with a proven record of professional etiquette. - Ability to work independently in a demanding environment. - Education: - High school diploma or equivalent (knowledge of business administration and/or accounting preferred). - Degree/certification or structured secondary education strongly preferred. - Key Competencies: - Strong initiative, judgment, and decision-making skills. - Ability to build rapport with patients and colleagues while maintaining empathy and sensitivity. - Collaborative collaborator within a distributed organization. - Adherence to company values, professionalism, and HIPAA compliance. Compensation The position will offer competitive compensation. In addition, it will offer the personal reward associated with transforming our patients’ lives and building the most defensible healthcare services platform in the country. Benefits - Generous health, dental, vision, disability, and life insurance. Company Description At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to set the new standard in dermatology. We are growing rapidly and looking for key team members who believe in our mission and want to make a difference in the lives of our patients. We foster a collaborative environment that is fun and hardworking and promise you will work alongside amazing colleagues you are proud to call your teammates.

Related Job Pages

More Onboarding Specialist Jobs

Title: Accounts Receivable Specialist - B2B SaaS Location: Pittsburgh, Pennsylvania, United States Department: Operations Job Description: Jacobian empowers physicians to deliver diagnostic excellence for every patient. We bring together Smart Reporting and Fluency for Imaging — the Best in KLAS radiology reporting solution (ranked #1 in Speech Recognition: Front-End Imaging five consecutive years, 2022–2026, and originally from M*Modal) — into a single AI-powered diagnostic reporting platform. Our guiding philosophy, "Intelligence Amplified," is about enhancing, not replacing, clinical expertise. We're a fast-growing, global team spanning roughly 10 countries, ranked #2 in the US and #1 in ANZ (Australia/New Zealand), and we partner with major imaging providers including Siemens, Canon, and GE. At Jacobian, our people are the heart of our journey: we foster a culture of innovation, collaboration, and empathy, and we're a mission-driven team that values trust, quality, collaboration, and innovation. Role summary As Accounts Receivable Specialist, you'll own the day-to-day billing and collections cycle for our B2B SaaS business across our US and Australian (ANZ) operations — issuing accurate subscription invoices, applying cash, and keeping accounts receivable current and clean. This is a hands-on operating role for someone who likes ownership of a well-run process, clear close deadlines, and direct contact with enterprise customers and internal teams. This is a hybrid role (2–3 days/week in our Pittsburgh office), with standard US business hours and occasional early mornings or late afternoons to connect with our Australian customers, especially around month-end. What you'll do - Run billing and collections across our US and Australian entities, including multi-currency (USD/AUD) invoicing and time-zone-aware collections follow-up. - Generate and issue accurate customer invoices for SaaS subscriptions, renewals, usage/overage, and professional services, in line with signed contracts and order forms. - Own collections: monitor AR aging, run dunning, follow up on past-due accounts, resolve disputes, and negotiate payment plans where needed. - Apply incoming payments (ACH, wire, credit card, check) and reconcile them against open invoices; investigate short-pays and discrepancies. - Maintain the AR sub-ledger, reconcile AR to the GL, and support a timely month-end close. - Partner with Sales, Customer Success, and RevOps on billing changes, renewals, and dispute resolution. - Maintain accurate customer billing records in the billing system / ERP. - Track and report on DSO, collections effectiveness, and aging; flag risk early. - Support internal and external audits with clean, well-organized documentation. - Identify and drive billing-process and automation improvements. Requirements - 2-5 years of billing, accounts receivable, and/or collections experience in a B2B SaaS or subscription business (order-to-cash / recurring revenue). - Hands-on with an ERP (e.g. NetSuite, QuickBooks) and a SaaS billing platform (e.g. Stripe, Zuora, Chargebee, Bill.com). - Multi-entity/ multi-currency billing exposure (USD / AUD). - Strong Excel/ Google Sheets experience; comfortable managing high invoice volumes and reconciling at scale. - Clear, professional written and verbal communication for customer-facing collections. - High accuracy and attention to detail; reliable against recurring close deadlines. Nice to have - Familiarity with SaaS metrics (ARR, MRR, churn) and how billing feeds them. - Exposure to US sales tax and Australian GST on software. - Experience in healthcare technology or another regulated environment; awareness of data-handling expectations (e.g., HIPAA, ISO 27001) - CRM exposure (Salesforce or HubSpot) - Associate's or Bachelor's in accounting, finance, or business (equivalent experience accepted). Benefits - Join a fast-growing, mission-driven team shaping the future of AI in radiology - building products that improve workflows and patient outcomes worldwide - Work from our Pittsburgh, PA office at Bakery Square on a hybrid schedule (2-3 days per week in-office) - Comprehensive health insurance (Health, dental & vision) effective from day one - 401(k) with 5% employer match - 20 days PTO + separate sick leave

Pennsylvania
Insight Therapy Solutions logo

Accounts Receivable Specialist

Insight Therapy Solutions

We're changing the world one person at a time.

Full TimeRemoteTeam 51-200Since 2012H1B No Sponsor

Role Description We are seeking a highly organized and detail-oriented Accounts Receivable (AR) Specialist to join our Revenue Cycle team. This role is responsible for managing outstanding insurance claims and patient balances, ensuring timely reimbursements, resolving claim denials, and maintaining accurate financial records. As an Accounts Receivable (AR) Specialist, you will manage outstanding insurance claims and patient accounts to ensure timely reimbursements while maintaining accuracy and compliance throughout the billing process. Key Responsibilities - Follow up on outstanding insurance claims and patient balances. - Contact insurance companies to resolve unpaid, denied, rejected, or underpaid claims. - Submit corrected claims, appeals, and reconsiderations within payer deadlines. - Review aging reports and prioritize accounts to reduce outstanding AR. - Post insurance and patient payments accurately and reconcile payment discrepancies. - Verify patient insurance eligibility, benefits, and claim status using payer portals. - Maintain accurate documentation of account activities, follow-ups, and payment updates. - Ensure compliance with HIPAA, payer guidelines, and company policies. - Collaborate with internal teams and communicate professionally with insurance representatives and patients. - Identify recurring billing issues, recommend process improvements, and meet established productivity and collection goals. Qualifications - Minimum 2 years of Accounts Receivable or Medical Billing experience in a healthcare setting. - Experience following up on insurance claims and patient accounts. - Experience resolving claim denials and submitting appeals. - Proficiency with medical billing software and insurance payer portals. - Strong computer skills, including Google Workspace. - Excellent organizational and documentation skills. - Reliable internet connection and a dedicated home office suitable for remote work. Preferred Qualifications - Experience in behavioral health, mental health, or outpatient healthcare billing. - Experience with clearinghouses such as Waystar, Availity, or similar platforms. - Familiarity with Electronic Medical Records (EMR/EHR) systems. - Experience working with U.S. healthcare insurance payers. Benefits - 100% Remote (Work from Home) - Paid time off (PTO) - Paid U.S. holidays - Paid birthday leave - Monthly health stipend - Parental leave Work Hours - Full-Time - Monday – Friday - 8:00 AM – 5:00 PM Pacific Time (U.S.) (1 hour lunch break) - 100% Remote (Work from Home)

United States
$600 - $700 / month
CVS Health logo

Accounts Receivable Specialist

CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Role Description The Accounts Receivable Specialist prepares accounting and financial records and reports, including general ledger and management reports. This person compiles data necessary to complete reports and maintains relevant records. What you will do - Enter monthly invoices, debit notes, and credit notes into accounting system. - Process deposits against the appropriate customers and accounts. - Balance deposits in the accounting system. - Follow systems of checks and balances. - Allocate broker commissions for payment. - Answer internal and external customer calls. - Update customer-related information in accounting system. - Identify and resolve problems in timely manner. - Follow up on delinquent accounts and own accountability for open items. - Collect and post claim payments against monthly invoices in accounting system. - Enter and process monthly fee claims for ancillary product offerings via claim system. - Process advanced accounting entries, such as reclasses, debits & credits. Qualifications - 2+ years of experience working in an accounting system within a finance environment. - 2+ years of experience working with both accounts receivable and accounts payable. - 2+ years of experience in financial auditing and billing. - Ability to work Monday-Friday from 8am-5pm Eastern Standard Time. Requirements - Previous experience with FTP (File Transfer Protocol) file transfers. - Strong critical thinking and analytical skills. - Strong working knowledge of Microsoft Excel, including Pivot Tables and formulas. - Strong attention to detail. - Problem solving skills. - Organizational skills. - Ability to meet monthly deadlines. - Customer service skills. - Oral and written communication skills. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

EST (UTC-5)
$19 - $42 / hour
CareSource logo

Onboarding Specialist

CareSource

Founded in 1989, CareSource is a nonprofit health care provider that aims to be a “transformative force in the industry by placing people over profits.” Bas

Role Description The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing healthcare services that will continue and new service requests. The Specialist works to ensure that member needs are addressed through liaising with internal CCA/CareSource providers and external healthcare providers. The Specialist also educates the member on health plan offerings and addresses members' questions or concerns. - Serves as the primary member contact and advocate until their care team is established, both through direct member outreach and inbound call support. - Leverages internal and external resources (such as claims, referrals, and pharmacy data) to identify accurate, successful contact information for unreachable or hard-to-reach members. - Orients new members to the value of CCA/CareSource as their health plan, providing education, answering members’ questions, anticipating, and meeting member needs and concerns. - Documents members’ current healthcare services and new service requests. - Ensures members continue to receive current healthcare services as they transition to CCA/CareSource through healthcare provider outreach and education. - Schedules new members’ initial nurse intake visits. - Utilizes communication skills such as motivational interviewing to gain agreement from members to participate in the onboarding process, persistently forging trusting relationships and engaging individuals not readily interested in connecting with CCA/CareSource. - Utilizes established workflows and collaborates with internal and external stakeholders and healthcare providers. - Provide clinical care to members via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services. - Perform any other job related duties as requested. Qualifications - Bachelor's Degree or relevant experience in call center and/or Medicare/Medicaid plan required. - Equivalent years of relevant work experience may be accepted in lieu of required education. - Five (5) years of relevant experience required. - One (1) year working in outreach or in the community with individuals who have behavioral, medical, social, or interpersonal complexities impacting their lives required. - Experience working in a multi-cultural setting required. - Experience using motivational interviewing techniques in a professional setting required. - Experience identifying unmet healthcare needs and escalating to the appropriate individual preferred. - Experience with electronic medical record and care management systems strongly preferred. Requirements - Demonstrated understanding of the community served. - Familiarity with data entry and querying databases to identify key information about members. - Excellent communication skills, including the ability to convey information clearly telephonically and in a culturally sensitive manner. - Strong interpersonal and customer relation skills, including active listening skills, dependability, and responsiveness. - Compassionate, understanding, and patient. - Motivates, empowers, inspires, and collaborates with members while effectively establishing boundaries by clarifying roles, expectations, and deliverables. - Ability to develop and maintain positive working relationships with peers, supervisors, and other organizations. - Knowledge of some medical terminology preferred. - Ability to multitask and ensure all work is completed thoroughly and completely in a fast-paced environment with competing demands. - Basic computer skills. - Professional, comprehensive, clear documentation. - Familiarity with Microsoft Office programs: Outlook, Calendar, Word. - Willing to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services. Benefits - Compensation Range: $47,400.00 - $76,000.00. - In addition to base compensation, you may qualify for a bonus tied to company and individual performance. - We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Working Conditions - General office environment; may be required to sit or stand for extended periods of time. - Travel is not typically required.

United States
$47.4K - $76K / year