Offer summary

Qualifications:

High School Diploma or equivalent is required., Experience with billing software and electronic health record (EHR) systems is necessary., Knowledge of medical insurance plans and billing guidelines is essential., Strong analytical and problem-solving skills are preferred..

Key responsabilities:

Process and ensure timely payment of claims accurately.

Follow up on open claims and resolve denials as needed.

Maintain compliance documentation and identify denial trends for escalation.

Collaborate with the Billing Customer Service Team and clinical team for claim-related inquiries.

Job description

Job Title: Accounts Receivable / Healthcare Claims Processor
Location: Remote (EST Time Zone)
Salary Range: up to 2800 USD

Work Schedule: Monday - Friday, 9:00 AM to 5:00 PM (EST)

NOTE: INDEPENDENT CONTRACTOR POSITION

Company Overview:

Sagan is an exclusive membership community for top executives, founders, and CEOs seeking to hire and maximize the impact of international talent. We bridge the gap between global talent and US-based businesses, connecting candidates from vibrant regions like Latin America, the Philippines, India, Pakistan, Bangladesh, and Africa with leading American companies. Discover a world of career possibilities with Sagan.

About the Company:

Sagan represents a leading dermatology practice with over 40 years of experience, 186+ providers, and 80+ locations across 7 states. They specialize in medical, surgical, and cosmetic dermatology and are committed to delivering high-quality, patient-focused care.

Position Overview:

The Accounts Receivable / Healthcare Claims Processor will be responsible for following up with insurance companies, diagnosing claim denials, and processing self-pay billing. This role requires strong attention to detail, familiarity with medical billing software, and the ability to communicate effectively with payers to resolve claims efficiently.

Key Responsibilities:

Ensure claims are processed and paid accurately and on time
Follow up on open claims, resolve denials, and reprocess claims when necessary
Maintain documentation and compliance with department policies
Identify denial trends and escalate issues to RCM leadership
Process write-offs for uncollectible accounts
Collaborate with the Billing Customer Service Team for patient account inquiries
Work with the clinical team to obtain additional claim-related information
Consistently meet productivity and accuracy standards
Adhere to company policies and guidelines

Minimum Qualifications:

High School Diploma or equivalent (required)
Experience using billing software and electronic health record (EHR) systems (required)
Knowledge of medical insurance plans (required)
Knowledge of medical billing, insurance guidelines, and appeals processes (preferred)
Knowledge of healthcare EDI transactions and experience with healthcare clearinghouses (preferred)

Skills and Abilities:

Strong analytical and problem-solving skills
Ability to develop and maintain positive, professional, service-oriented working relationships with senior leadership, patients, physicians, and other co-workers
Ability to work independently and proactively while managing multiple priorities

Please note: To ensure prompt processing of your application, we kindly request that you submit your resume and an introductory video in English format.

Required profile