Medical Billing Specialist

Vanguard Skin Specialists is a dermatology and plastic surgery practice serving communities in southern Colorado. Our mission is to make a positive impact on our patients, our community, and our world. This mission drives everything we do, from opening offices in underserved areas to sponsoring humanitarian projects to volunteering locally and abroad.

We have been recognized as a best workplace in Colorado Springs by the Gazette for seven years in a row and as one of the top 150 workplaces in Colorado by the Denver Post for the last five years.

Overview

The Billing Specialist is responsible for supporting the full revenue cycle through accurate coding review, payer rule verification, authorization submission, patient estimate generation, account resolution, and customer service support. This role works closely with clinical teams, patients, and insurance payers to ensure timely and compliant billing processes. All Billing Specialists participate in team workshops and project days to support continuous improvement initiatives.

Duties and Responsibilities

• Independently review and process coding corrections, payer rules, and documentation requirements identified by the RCx Coding Application.
• Submit prior authorizations across a mix of payers, ensuring timely follow up and documentation.
• Provide comprehensive and timely surgery estimates to patients; proactively clarify benefit discrepancies when needed.
• Manage assigned A/R worklists, including claim corrections, resubmissions, and denial follow?up.
• Research insurance overpayments, initiate refund workflows, and provide supporting documentation.
• Serve as a primary responder for the Billing Phone Line and Billing Inbox.
• Provide technical support to internal customers through the Billing Help Desk.
• Participate and contribute to departmental workshops and project days.
  

Qualifications

• 12 years of experience in medical billing or revenue cycle management.
• Proficient understanding of coding principles, payer billing guidelines, and authorization processes.
• Strong problem?solving abilities and excellent communication skills.
• Effective time management with exceptional attention to detail.
• Demonstrated analytical thinking and sound judgment.
• Commitment to the mission and values of Vanguard Skin Specialists.
  

Schedule

This is a full?time, 40?hour position with business hours Monday to Friday. The position is based out of Colorado Springs and offers one remote day per week, post training completion.

Compensation & Benefits

Compensation is $20.00$22.75 per hour (based on experience) with eligibility for overtime and paid time off. The practice covers a portion of the premium for medical benefits and offers vision, dental, and 401(k). The position also includes Paid Time Off, Graduate School Stipend, bereavement pay, Paid Maternity & Bonding Leave, and Employee Discounts on products and aesthetic services.

Physical Working Conditions

• Remain in a stationary position 90% of the time.
• Occasionally move about inside the office to access file cabinets, office printer, etc. (10% of the time).
• Operate a computer and other office machinery, such as a calculator, printer, copier, scanner, or fax.
• Communicate accurately, effectively, and frequently.
• Identify color on the computer and software used.
  

Offers for employment will be contingent on successful pre?employment screening for this position, including background check, drug screen, employment and education verification, licensure/certification verification, and/or governmental registry checks.

Vanguard Skin Specialists is an equal?opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.