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 Lead, Accounts Receivable is responsible for tracking and resolving outstanding payment and claims issues as well as generate weekly aging reports in a timely manner. 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
- Effectively lead and oversee the Accounts Receivable Team for your assigned region.
- Provide new hire training and continuing education for your team.
- Coordinate and perform all account receivables activities for your assigned region including but not limited to insurance follow ups, quality assurance, root cause analysis of denied claims, resolution of complex or aged accounts, verify claims adjudication, and complete special projects as required.
- 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.
- Ability to identify the cause of claim denials and resolve them, with minimal assistance.
- Continually evaluate team needs and develop solutions while resolving issues as they arise.
- Effectively communicate issues to management, including payer, system, or escalated account issues.
- Meets productivity requirements as established by organization and external benchmarks.
- Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
- Provide support for internal and external audits.
- Generate age analysis; review AR aging to ensure compliance.
- 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 may be assigned.
Requirements
- High School graduate or equivalent.
- 3-5 years of revenue cycle/AR experience is required.
- Medical Billing Certification is a plus.
- Mod Med/EMA practice management system experience is a plus.
- Must be highly professional and an effective communicator.
- Excellent time management and detail orientation.
- Self-driven personality with eagerness to adapt quickly in a changing environment.
- Strong project management skills and ability to multitask.
- Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10).
- Must maintain a high level of integrity and confidentiality of medical information.
- Ability to deal diplomatically with complaints and function well under pressure.
- Strong interpersonal and communication skills (both written and oral communications)
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
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 in a full-time basis.