Job Description
Dermatology & Skin Surgery Specialists is an upscale, general, surgical, and cosmetic focused dermatology practice located in Scottsdale. We are looking for an experienced Medical Biller/AR Specialist to join our team. As an experienced Medical Biller, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. Must have at least 3 years of billing experience in a private practice setting. Responsibilities: * Handle patient intake phone calls and email inquiries, review light clinical information, and review out of network insurance information with the patient * Ensure timely follow up on all unpaid claims utilizing monthly aging reports * Effective communication abilities for phone contacts with insurance payers to resolve issues * Customer service skills for interacting with patients regarding medical claims and payments * Research and resolve any discrepancies, denials, appeals, collections * Set up patient payment plans and work collection accounts * Review patient bills for accuracy and completeness and obtain any missing information * Process claims and post payments. * Process insurance payments, including balance billing to secondary insurance and/or directly to patients. * Analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims. * Properly note system and maintain all documentation required for compliant claim submission. * Prepare and process refund requests. * Verify and post deposit amounts. * Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation. * Prepare accounts for collections and work with outside collection agencies. * Respond to telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated time frames. * Meet positional metrics and benchmarks. * Maintain the highest degree of ethics when handling patient payments and bill processing * Follow all department standard operating procedures carefully and accurately * Other duties as assigned by supervisor. Desired Skills and Experience: * 5+ years of healthcare billing experience in a fast-paced, customer focused environment, dermatology clinic experience, a plus * A passion for dermatology is a plus * Strong written and verbal communication skills & a team player * Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems * Detail oriented with strong organizational skills * Exemplifies amazing customer service skills and professionalism * Experience in CPT and ICD-10 coding; familiarity with medical terminology * Ability to manage relationships with various insurance payers * Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement. * Certificate from an accredited medical and billing school.