Medical Billing and Authorization Specialist

Dermatology Medical Biller/Coder

Amazing opportunity for an experienced medical biller and coder in a prestigious practice and positive environment! We offer one of the highest salaries in the area to highly qualified applicants (Salary Bonuses)! Part-time biller or full-time as a hybrid biller/receptionist or call center position.

We are a premier dermatology, vein and skin cancer center offering medical, surgical and cosmetic services. Our office is located in Venice, FL, a fast growing area in close proximity to Sarasota, one of the most beautiful and most desired places in the country with incredible entertainment, dining, art, and schools. Join a great team in a friendly and professional environment. Expertise with billing in dermatology and excellent customer service are required.

Experience:

• 1 year of prior billing/collections experience is required.
• At least 1 year in dermatology billing/coding experience is preferred.
• AR/Benefit/Patient Collections experience a requirement
• Proficiency with coding practices, dermatology-specific forms, medical terminology, ICD-10 codes and private insurance billing
• Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology)
• Billing specialist experience in dermatology preferred
• Experience with W/C & liabilities highly preferred but not required
• Experience with billing software/clearinghouses preferred
• Medical office experience in Dermatology preferred
• Excellent phone skills and professional manner is required
• Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients
• Excellent customer service skills
• Must have a professional presentation that is representative of our upscale practice and also be a team player that thrives in a service environment and can work autonomously.
• Familiar with medicare and private insurance copays and deductibles
• Must be able to determine deductibles and allowables, confirming patients appointments, must be able to control patient flow, check-out patients, collect payments, reschedule appointments

Responsibilities:

This position requires following the patient from inquiry through collections:

• Responsible for pre-determination letters, pre-certification, prior-authorization, coding, billing, submitting electronic bills to insurance companies, following up on billing status and collections, contacting insurance carriers for payment and appealing any necessary claims.
• Review patient charts for coding accuracy
• Ability to investigate, and obtain a resolution of problems with accounts.
• Report missing or incomplete documentation and work with health care professionals to correct inaccuracies
• Serves as a resource regarding coding questions
• Administrative tasks such as accounts receivable, daily deposits, managing refund requests, running credit balance reports and accuracy of daily/weekly/monthly reports.
• Verifies insurance coverage, eligibility, benefits, obtain authorizations and pre-certs as determined by the individual insurance companies as needed.
• Credentialing
• Process claims
• Handle patient inquiries/disputes
• Review outstanding A/R
• Insurance follow-up
• Appeal claims
• Meet daily coding production goals and lag day goals
• Ensures all codes are current and active and helps disseminate to appropriate personnel
• Weekly (or as needed) meeting with providers about any deficiencies in their billing/coding components of their notes.

Job Types: Full-time, Part-time

Pay: $22.00 - $26.00 per hour

Expected hours: 30 – 40 per week

Benefits:

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

Schedule:

• Monday to Friday

Work Location: Multiple locations

Salary : $22 - $26