Medical Billing/Collections Specialist - Dermatology

A doctor-owned, multi-location practice, Colorado Center for Dermatology & Skin Surgery invests in our team members’ continual learning and development as professionals. We believe that every individual’s contribution matters greatly in the experiences and outcomes of our patients. Our team is committed to continually getting better at what we do and fostering a dynamic and upbeat culture.

Are you a proactive and detailed person? Are you known for seeing tasks through to completion and producing excellent work?

We are seeking a highly organized and detail-oriented full-time Medical Billing & Collections Specialist to join our cohesive and caring team. This role will be responsible for managing insurance billing, follow-up collections, and ensuring accurate claims submission for various insurance types, including Medicare, commercial insurance, and managed Medicare. The ideal candidate will have experience in medical billing, a strong understanding of insurance guidelines, and excellent organizational skill to ensure timely and accurate reimbursement from insurance carriers. This position plays a critical role in maintaining the financial health of our practice while delivering exceptional service to our patients.

Key Responsibilities

Insurance Billing:

• Prepare and submit accurate claims for services rendered to insurance carriers.
• Verify and ensure compliance with insurance policies and regulations.
• Review patient records and documentation to ensure proper coding (ICD-10, CPT) and billing practices.
• Review and mange any appointments missing charges to ensure optimal revenue capture.

Collections:

• Proactively follow-up on unpaid or underpaid claims, ensuring prompt collections.
• Research and resolve claim rejections and denials. Proactively and efficiently follow-up with insurance to resolve payment delays/issues, increasing cash collections and minimizing write-offs or adjustments.
• Manage all appeals and rebills, with the aim to quickly resolve the claim and minimize additional follow-up with the insurance companies.
• Escalate issues and barriers to CCD Leadership.
• Identify risks and opportunities within area of responsibilities, including underpayments, denial trends, and accurate payment posting.

Team Collaboration:

• Collaborate closely with front desk team, medical assistants, and other office team members to ensure accurate patient data collection and smooth workflow.
• Partner with the clinical team and medical providers to verify and resolve any coding or documentation discrepancies.
• Work with the leadership and other billing team members to streamline processes, resolve escalated billing issues, and improve overall efficiency.
• Attend regular team meetings to discuss billing & collection updates, and overall office performance metrics.

Compliance:

• Ensure all billing practices adhere to relevant legal and regulatory requirements (e.g., HIPAA).
• Stay updated on changes in insurance and billing regulations, especially related to Medicare and managed-Medicare plans.

Reporting:

• Generate and analyze billing reports to monitor outstanding claims, payment trends, and account balances.
• Provide regular updates on collections status and account resolutions to management.

Requirements:

• High school diploma or equivalent; a degree in medical billing or a related field is a plus.
• Certification in medical billing and coding (e.g., CPC, CPB) is preferred.
• Minimum of 2 years of experience in medical billing, preferably in a dermatology or other medical specialty office.
• Strong understanding of Medicare, managed care, and commercial insurance billing procedures.
• Proficiency with medical billing software and electronic health record (EHR) systems.
• Knowledge of ICD-10 and CPT coding.
• Excellent communication skills, both written and verbal.
• Strong attention to detail and organizational skills.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Strong technology skills in Google Suite and ability to navigate EHR and practice management/billing software (Modernizing Medicine)
• Resonates with the Practice’s vision, mission, and values of Help First, Personal Excellence, Expert-Mindedness, Genuine Enthusiasm, and Creative Cooperation.

Job Locations:

• We currently have offices in Centennial, Longmont & Littleton, CO. This position is in-person in Centennial, CO with option for potential hybrid based on performance.

Application Instructions:

• To be considered for this position, please complete all of the following REQUIRED steps:
• Click on this link (https://go.cultureindex.com/s/7AhC0o36d0) and complete a brief, 10-minute survey.
• Send a (i) cover letter introducing yourself and your qualifications, (ii) resume, and (iii) compensation requirements.
• Please submit application as soon as possible. Position open until filled. Thank you.

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Did you navigate to https://go.cultureindex.com/s/7AhC0o36d0 to complete our REQUIRED brief survey? Please note that this survey must be completed in order for your application to be considered.

Education:

• Bachelor's (Preferred)

Experience:

• Medical billing: 2 years (Required)

Ability to Commute:

• Centennial, CO 80112 (Preferred)

Work Location: In person

Salary : $22 - $26