What are the responsibilities and job description for the Medical Billing Specialist position at Grenada Dermatology?
Job Summary
We are a fast-paced, patient-focused dermatology practice dedicated to providing exceptional medical, surgical, and cosmetic dermatologic care. Our team values professionalism, efficiency, accuracy, and compassionate service. We are seeking an experienced and detail-oriented Medical Billing Specialist to join our growing practice.
In this role, you will be responsible for managing the billing process for medical services, ensuring accurate coding, timely submission of claims, and effective follow-up on outstanding accounts.
Duties
- Review and verify medical documentation to ensure accuracy and completeness before billing
- Assign appropriate codes using CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications
- Prepare and submit claims electronically through EMR (Electronic Medical Records) or EHR (Electronic Health Records) systems
- Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies
- Collaborate with medical office staff to update patient records and ensure correct coding for procedures and diagnoses
- Review and correct claim denials and rejections
- Submit accurate and timely electronic and paper insurance claims
- Verify patient insurance eligibility and benefits
- Review and correct claim denials and rejections
- Follow up on unpaid or underpaid claims with insurance carriers
- Post insurance and patient payments accurately
- Manage patient billing inquiries professionally and efficiently
- Reconcile accounts and maintain accurate billing records
- Work closely with providers and clinical staff regarding documentation and coding requirements
- Ensure compliance with HIPAA and payer regulations
- Assist with audits and appeals as needed
- Monitor aging reports and maintain accounts receivable goals
Skills
- Strong knowledge of medical terminology, medical records management, and healthcare documentation standards
- Knowledge of ICD-10, CPT, and HCPCS coding
- Experience with medical billing processes and medical collection strategies
- Experience with EMR/EHR and practice management systems
- Ability to interpret and apply ICD coding guidelines accurately for proper claim submission
- Excellent attention to detail to minimize errors in coding and billing procedures
- Effective communication skills for interacting with insurance providers, patients, and healthcare staff
- Ability to multitask and work efficiently in a high-volume environment
- Familiarity with commercial insurance, Medicare, and Medicaid billing
Benefits
- Competitive salary based on experience
- Health, dental, and vision insurance
- Paid time off and holidays
- Retirement plan options
- Supportive team environment
- Opportunities for professional growth
Schedule
- Monday 8am-4:30 pm
- Tuesday-Thursday 7am-4:30pm
- Friday 8am-12pm
- No weekends required
Pay: $14.00 - $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
Salary : $14 - $22