Medical Billing Specialist (Beachwood)

At Phothera, we are building something truly remarkable that will long outlive us. As part of our mission, we are advancing phototherapy to make people safer, healthier, and more productive. Auto-immune skin diseases such as Psoriasis, Atopic Dermatitis, and Vitiligo can be debilitating both physically and emotionally. Many topical and pharmaceutical treatments are costly and have serious side effects. With phototherapy, payers have a low-cost alternative, providers have a simple and effective solution, and patients have a safe, easy, and natural alternative with the option of use in the comfort of their own home.

We are expanding our journey to help patients, improve clinical outcomes, reduce healthcare costs, and expand market access. Phothera offers phototherapy devices for clinic and home treatment use under the guidance and prescription of an authorized care provider. We are looking for entrepreneurial leaders with a strong bias-for-action to accelerate adoption and growth.

The Medical Billing Coordinator will be a key member of our accounting team, supporting a variety of business-critical activities including insurance claims submissions and denial resolutions, patient collections, and general bookkeeping of accounts receivable. This role is well supported by an existing team and affords future career advancement opportunities into various roles within customer service, sales, and finance.

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following.

• Self-driven to meet business objectives
• Well organized
• Excellent written and verbal communication skills
• Submit insurance claims through insurance portals in an accurate and timely manner
• Proactively monitor accounts receivable reports, identify delinquent accounts and lead resolution and collection efforts directly with insurance providers and patients
• Generate documents as needed to support our insurance claims submission process, following up with insurance providers to secure past due payments
• Process payments received in an accurate and timely manner into our accounting system
• Strive for continuous improvement to our collection speed and accuracy
• Special projects and other duties as assigned.

SUPERVISORY RESPONSIBILITIES

None

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

EDUCATION AND / OR EXPERIENCE

DEDICATION TO THE QUALITY SYSTEM

Our objective is to provide a system that promptly detects non-conformances and provides timely and effective control and corrective actions. This Quality System establishes an effective means of assuring product quality. It is our policy to provide full compliance with the Quality System throughout all facets of contract performance and the order fulfilment process. This ensures that all of our products and services meet or exceed the expected company standards as well as those of our customers and the ISO 13485 International Standard, MDSAP, FDA, as well as EU-MDR and other regulations and standards. We operate the Quality System as an overall management system for all products.