About DermTech:

At DermTech, we believe there’s a better way to assess skin conditions, and we’re using innovation and technology to enhance precision dermatology. We have developed proprietary processes that assess skin at the RNA and DNA level, to help clinicians better manage health conditions such as melanoma. This is “precision dermatology,” which we believe brings a new era in assessing skin health.

Our tests are based on our patented methods, using non-invasive skin sample collection that begins with using our Smart Sticker^TM to collect a sample from the skin’s surface easily, accurately, and painlessly. Samples are tested in our state-of-the-art laboratory, which analyzes that skin sample at the genomic level. By pushing the boundaries in precision dermatology, we truly believe our technology can change the world. We are seeking team members with the vision, passion, and creativity to do the same.

General Description:

The successful candidate will excel at identifying, analyzing and resolving insurance company denials. While working with our Reimbursement, Commercial and Finance teams this role will provide on-going insight and analytics on all medical insurance claims.

Primary Duties and Responsibilities:

• Verifying insurance/recipient eligibility, billing and follow-up on claims to Medicare, Medicaid and Private Insurer Payers.
• Researching and responding to Medicare, Medicaid and other Payer inquiries regarding billing issues and insurance updates.
• Reviewing unpaid and/or denied claims, appeals and follow-up on accounts to zero status.
• Reviewing and interpreting explanation of benefits to determine contractual allowance.
• Researching accounts and resolving deficiencies.
• Calling insurance companies regarding outstanding accounts and utilizing payor websites to check claim status.
• Reviewing and submitting accurate claims, resubmissions and claim review forms.
• Researching and monitoring specific billing issues, trends and potential risks based on current research and customer feedback.
• Answering all patient/doctor/hospital/lab/insurance company phone calls regarding accounts, and taking appropriate action.
• When requested, providing administrative support for department(s) including but not limited to performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects, duties, and other administrative tasks.
• Communicates with patients to advise on status of insurance claims, as necessary.
• Contacts patients regarding collection of outstanding invoices.
• Fields inbound calls from patients regarding inquiries related to insurance claims.
• Makes outbound investigational calls to insurance providers to determine status of outstanding claims.
• Negotiates structured payment plans.
• Keeps up to date with specifications on all products and services.
• Confirms completion of required training plan before assuming job responsibilities.
• Ensures work is performed in compliance with company policies including Privacy/HIPAA and other regulatory, legal, and safety requirements.
• Additional duties as assigned by the management team.

Education/Experience/Skills:

• 2-year degree from an Accredited Medical Billing School
• 2 years of billing and claims follow up experience; experience with Medicare preferred
• Experience with Xifin strongly preferred
• Experience with commercial payors
• Experience with molecular diagnostic billing preferred
• Familiarity with CMS 1500 claim form
• Strong customer service skills, including patient communications
• Experience in a HIPAA controlled environment is required.

Additional Information:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Talent Acquisition.
DermTech is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at DermTech via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of DermTech. No fee will be paid in the event the candidate is hired by DermTech as a result of the referral or through other means.