Accounts Receivable Specialist - Beachwood, OH

Position Overview · Apex Skin is a physician-led and rapidly growing dermatology practice committed to operational excellence and exceptional patient experiences. We are seeking a detail-oriented and accountable Accounts Receivable (A/R) Specialist to support our revenue cycle op ...

Job description

Position Overview

Apex Skin is a physician-led and rapidly growing dermatology practice committed to operational excellence and exceptional patient experiences. We are seeking a detail-oriented and accountable Accounts Receivable (A/R) Specialist to support our revenue cycle operations.

This role is responsible for managing A/R aging, claim denials, appeals, and resubmissions while ensuring accurate and timely reimbursement from insurance carriers. The A/R Specialist works closely with assigned office locations, third-party billing partners, providers, and patients to resolve claim issues and maintain strong financial workflows.

The ideal candidate demonstrates strong follow-through, urgency, attention to detail, and clear communication skills. Success in this role requires comfort working within insurance portals, managing large claim volumes, and meeting quarterly scorecard performance goals.

Schedule

• Full-time-Monday through Friday
• 7:30 AM – 4:00 PM or 8:00 AM – 4:30 PM
• Hybrid flexibility may be available based on departmental needs

Essential Functions:

• Manage assigned A/R accounts and work aging reports to ensuretimelyclaim resolution
• Manage high volumes of claim denials, ensuringtimelyreview, correction, and resubmission to maximize reimbursement.
• Review, scrub, and analyze electronic and paper insurance claims prior to submission
• Resolve claim rejections fromclearing housesor payors within establishedtimeframes
• Handle denials, appeals, coordination of benefits (COB) claims, and resubmissions
• Work directly within insurance portals to verify claim status andsubmitrequired documentation
• Generate andsubmitCMS-1500 forms when necessary
• Follow up on unpaid claims andmaintaindetailed documentation for audit trail purposes
• Communicate with insurance companiesregardingclaim discrepancies and payment delays
• Partner with assigned office locations (4–5 sites) to resolve claim questions and documentation gaps
• Work collaboratively with coders, billers, medical records, and revenue cycle team members
• Respond to patient inquiries related to account statements and explanations of benefits (EOBs)
• Submit invoices, medical records, and supporting documentation to payors asrequired
• Meet quarterly performance scorecard metrics, which vary quarterly depending on departmental expectations
• Maintain professionalism, punctuality, andtimelycommunication with internal stakeholders
• Performadditionalduties as assigned to support the revenue cycle team
• Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions

Qualifications

• Billing certification or formal billing education preferred
• High school diplomarequired;additionaleducation in healthcare administration or billing is preferred
• Minimum of five (5) years of billing and collections experience in a clinic or physician practice setting
• Strong knowledge of medical billing processes, A/R principles, ICD-10and CPT coding
• Experience handling denials, appeals, and insurance follow-up
• Working knowledge of Medicare, Medicaid, and commercial insurance plans
• Proficiencynavigating insurance portals and electronic claim systems
• Experience working within an EMR or practice management system; ModMed experience is preferred
• Proficiencyin Microsoft Office, Outlook, and Microsoft Teams
• Strong time management skills with the ability to manage high claim volumes (800–900 cases)
• Excellent written and verbal communication skills
• Demonstrated reliability, follow-through, and workflow adherence

Career Growth Opportunities

• Motivated A/R Specialists may pursue:
• Revenue Cycle Lead or Senior A/R Specialist roles
• Billing Supervisor or Revenue Cycle Management pathways
• Cross-training in coding, compliance, or financial analytics
• Process improvement and workflow optimization initiatives
• Apex Skin provides training, mentoring, and development opportunities for individuals whodemonstrateskill, reliability, accountability, and financial accuracy.

Physical Requirements & Work Environment

• Prolonged periods of sitting and working at a computer
• Frequent use of hands and fingers for typing and navigating electronic systems
• Ability to occasionally stand, walk, bend, orlift upto 20 pounds (files or office materials)
• Visual acuity sufficient to review detailed financial data and claim documentation
• Work performed in a professional corporate office or hybrid setting
• Frequent interaction with internal departments, insurance representatives, and patients
• Requires sustained attention to detail, focus, and independent problem-solving
• Must adhere to HIPAA, OSHA, and Apex Skin privacy and safety standards

Apex Skin Culture

Apex Skin fosters a collaborative, patient-first environment built on compassion, clinical excellence, and teamwork. We believe in a respectful and supportive workplace where employees feel valued, trusted, and empowered to contribute to exceptional patient experiences and meaningful clinical care.

Employee Health & Safety Requirements

All patient-facing employees are required to provide proof of a TB test within the past 12 months and an annual flu vaccination as part of Apex Skin's employee health and safety protocols. The Hepatitis B vaccination series is also strongly recommended for clinical staff due to potential occupational exposure risks. Apex Skin complies with federal and Ohio law by providing reasonable accommodations for medical conditions or sincerely held religious beliefs that prevent vaccination. Employees seeking an accommodation should contact Human Resources for more information.

Equal Employment Opportunity Statement

Apex Skin provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Apex complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.