Dermatology Medical Biller

Job Description

Job Description

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.