Apex Dermatology and Skin Surgery Center is a rapidly growing skincare facility that empowers associates to deliver exceptional patient experiences. We are currently looking for a talented candidate for the role of Billing and Credentialing Specialist. The Billing and Credentialing Specialist is responsible for maintaining active status for all providers, posting electronic and "paper" payments from third-party payers, government agency payers, and patients in a timely and accurate manner, and following up on billing tasks, inquiries, and documentation. This position will be approximately 20% Payment Posting, 50% Billing Follow Up, and 30% Credentialing. This role will be based at our Corporate Office in Mayfield Heights, Ohio, but we will also allow remote work as well for this role. 

This is an hourly/non-exempt position. This position requires legal authorization to work in the U.S.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Functions

Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.

Maintain internal provider grid to ensure all information is accurate and logins are available.

Maintain accurate and up to date provider profiles on CAQH, PECOS, NPPES, and CMS databases.

Complete revalidation requests issued by government payers.

Complete credentialing, re-credentialing, and privileging applications to add providers to commercial payers, Medicare, and Medicaid.

Work closely with the Director of Revenue Cycle and billing staff to identify and resolve any denials, rejections or authorization issues.

Assist patients with billing inquiries, payments, and account discrepancies.

Process all incoming and outgoing billing mail, following up as needed.

Post payments, adjustments, and zero-pay EOBs in an accurate and timely manner.

Posts patient payments in an accurate and timely manner to the appropriate line-item charge.

Research and resolve "unapplied and/or unidentified" payments to ensure monies are properly distributed.

Enter and balance payments as assigned by category (Check, Credit Card and/or Electronic Payments) by batch to internal deposit records for the day.

Process end of day reports (internal deposit slips and clearing of financial queue).

Employee Safety: Responsible for ensuring that all duties, responsibilities, and operations are performed with the utmost regard for the safety and health of all personnel involved, including themselves.

Safely performs all duties; follows required protective protocols to ensure personal safety as well the safety of others.

Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches.

Other duties as assigned by Supervisor

Requirements

• Previous experience in medical billing and credentialing in a clinic/hospital setting
• Sound understanding of medical billing and credentialing principles and practices
• Advance competency in Microsoft Office and billing software packages

About Us. . . . . . . Who we Are

We are Apex Dermatology & Skin Surgery Center. Our goal is to provide the highest quality dermatology and dermatologic surgery care to patients in Northeast Ohio in a prompt and compassionate manner. A strong commitment to delivering and exceptional patient experience, prompt access to care, including same day appointments and service and education to the community, are our core values.

What we Offer

Apex Dermatology & Skin Surgery Center offers a comprehensive benefits plan that includes Paid Time Off, Paid Holidays, Medical, Dental, Vision, Life Insurance, Short Term Disability and a 401(K) plan with an employer match. We also offer ID Theft Protection Coverage, Accidental Insurance, Derm Service Discounts and Lifestyle Benefits such as discounts to sporting events, movies, theme parks, travel & more.

Apex Dermatology & Skin Surgery Center 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 stte 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