Medical Billing-Credit Resolution - Anne Arundel Dermatology

At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother. 

Patient First | Caring | Accountability | Trust | One Team | Growth

Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. With 250+ clinicians and 110+ locations in 7 states, we’re thriving, growing, and looking to add talented individuals to our team!

Why join Anne Arundel Dermatology?

We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research, emerging treatments, new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within.

The Credit Resolution Specialist is responsible for analyzing Explanation of Benefits (EOBs) and/ or payor correspondence to reconcile system credit balances or potential overpayments, research and resolve problem insurance and patient accounts, and request adjustments accordingly. The Specialist will effectively identify trends and analyze root causes to drive work efficiently within the team.

• Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refunds, retractions, and/or adjustments to claims.
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims; use business acumen and judgment in relation to review of accounts to attest a refund is due.
• Ensures credit balances do not exceed acceptable thresholds of an Accounts Receivables Day, and that all standards and compliance rules are being adhered to.
• Use critical and analytical problem-solving skills to resolve issues along with strong organizational skills to effectively manage large amounts of detailed information.
• Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.
• Contributes to implementation of process improvement initiatives aimed at improving credit department; Escalate issues timely with appropriate follow up until a resolution is in place.
• Manage and oversee the completion and resolution of individual and team credit balance work lists which includes daily, weekly, and monthly reporting of outstanding credit balances.
• Work collaboratively to achieve productivity and quality standards.
• Other duties assigned as deemed necessary by management. 

• Minimum of 2 years of experience in medical billing with credit resolution experience required
• MUST live in Eastern time zone

• Minimum of a high school diploma