Accounts Receivable Specialist

About Apex Skin:

We are Apex Skin, and our mission is to provide the highest quality dermatology and dermatologic surgery care to patients across Northeast Ohio with promptness, compassion, and excellence. We pride ourselves on delivering exceptional patient experiences, offering same-day appointments, and serving our communities through education and meaningful care. Our team is dedicated to creating a supportive, patient-focused environment where excellence, empathy, and teamwork thrive.

Position Overview

Apex Skin is a physician-led and rapidly growing dermatology practice committed to delivering exceptional patient experiences. We are seeking a talented and motivated Accounts Receivable Specialist to support our revenue cycle operations and ensure accurate and timely processing of insurance claims.

This role includes reviewing and submitting claims, managing A/R aging and denials, processing appeals and claim resubmissions, resolving coordination of benefits (COB) issues, and communicating with patients and insurance companies regarding account and billing questions. The ideal candidate demonstrates strong knowledge of medical billing and insurance processes, attention to detail, effective communication skills, and the ability to manage multiple priorities in a fast-paced environment.

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.