Job Details

#1 PH Workforce Delivering to the US

MedCore Solutions, the medical division of BizForce is looking for a dedicated Accounts Receivable Specialist (Dermatology Claims) to join our rapidly growing team. This role is crucial in managing the complex billing and collections process specifically for dermatology-related claims. As an Accounts Receivable Specialist, you will work closely with healthcare providers, patients, and insurance companies to ensure timely payments for services rendered. Your accuracy and attention to detail will directly impact our financial health and patient satisfaction.

Key Responsibilities

• Handle full-cycle RCM
• Process and manage dermatology claims accurately and in a timely manner
• Review and resolve rejected claims, and follow up on outstanding payments
• Communicate with healthcare providers and insurance companies regarding claim status and payment arrangements
• Reconcile accounts receivable and conduct regular audits of accounts for discrepancies
• Provide excellent customer service by addressing and resolving patient inquiries regarding billing
• Maintain confidentiality and compliance with HIPAA regulations
• Prepare and submit periodic reports on collections and outstanding claims

• Minimum of 3 years of experience in accounts receivable (US Healthcare)
• Strong knowledge of dermatology billing processes and codes
• Proficient in EZDerm EMR
• Familiarity with insurance verification and claim adjudication

• Reduction in claim rejections and denials
• Achievement of target collections on a monthly basis
• Timeliness in response to patient inquiries
• Accuracy in claim submissions and account reconciliations
• Amenable to work in a graveyard shift

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: Hawaii Standard Time

Duration: Full-time Steady state

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Specialized Training