Benefits:

401(k)

401(k) matching

Bonus based on performance

Company parties

Competitive salary

Dental insurance

Employee discounts

Free food & snacks

Free uniforms

Health insurance

Opportunity for advancement

Paid time off

Overview: We are seeking a highly skilled and experienced Dermatology Medical Billing Specialist to join our dynamic team. The ideal candidate will have a strong background in medical billing, with specific experience in dermatology. Familiarity with the Modernizing Medicine / EMA practice management system is highly preferred. This role is critical in ensuring the financial health of our practice through efficient and accurate billing processes.

Key Responsibilities:

Claim Management: Ensure all claims are accurately processed and submitted in a timely manner. Review and verify patient billing information for completeness and accuracy.

ERA Posting: Efficiently post and reconcile Electronic Remittance Advice (ERAs), ensuring all payments, adjustments, and denials are accurately recorded.

Denial Management: Investigate and work on denials, identifying the reasons for rejections, and taking appropriate actions to resolve them.

Surgery Pre-Certifications: Conduct pre-certification processes for surgeries, ensuring all necessary approvals are obtained in advance.

Patient Billing Inquiries: Address patient billing inquiries, providing clear and concise explanations regarding their bills and insurance coverage.

Insurance Verification: Verify patient insurance eligibility and benefits, and update patient files with accurate insurance information.

Accounts Receivable Management: Monitor and manage the accounts receivable ledger to ensure timely collection of payments.

Reporting: Generate billing reports and analyze data to identify trends, discrepancies, and areas for improvement in the billing process.

Compliance: Ensure compliance with all federal and state regulations, as well as adherence to payer contract guidelines.

Additional Billing Tasks: Perform other standard billing tasks as required, including but not limited to, updating billing software, coordinating with other departments, and participating in team meetings.

Qualifications:

Proven experience in medical billing, with a focus on dermatology.

Proficiency in Modernizing Medicine / EMA practice management system.

Strong understanding of medical billing procedures and regulations.

Excellent organizational and communication skills.

Detail-oriented with a strong commitment to accuracy.

Ability to work independently and as part of a team.

Certification in medical billing and coding is a plus.