We are seeking an experienced, detail-driven Medical Biller – Dermatology to manage end-to-end revenue operations for a fast-paced dermatology practice. In this role, you will lead claim creation, code auditing, complex modifier validation, and aggressive denial resolution to maximize reimbursement.
The ideal candidate brings specialized expertise in general, surgical, and cosmetic dermatology billing, exhibits expert command over modifier applications, and possesses recent, hands-on experience using ModMed (Modernizing Medicine).
Working Environment & Core Schedule
Top 3 Daily Tasks
Core Responsibilities
Requirements
Required Qualifications
Highly Preferred Qualifications
Ideal Candidate Profile
You are a sharp, analytical dermatology biller who knows ModMed inside and out. You understand how to read provider notes, catch bundling errors, apply X-modifiers with precision, and relentlessly pursue uncollected insurance claims until resolved.
Manage medical claims collections by checking payment status, auditing billing discrepancies, verifying insurance payments, and pursuing unpaid or denied claims and appeals to support accurate revenue cycle operations.
Process and reconcile medical billing claims by applying diagnostic and procedure codes, reviewing remittance advice, correcting discrepancies, and maintaining accurate documentation in billing systems.
Prepare and process medical bills, submit and track insurance claims, resolve billing inquiries, process payments, and maintain accurate, confidential patient billing records in compliance with medical coding requirements.
Manage insurance claim denials and billing reconciliation while supporting EMR records, authorizations, patient communications, KPI reporting, onboarding, and day-to-day therapy practice operations.
Manage U.S. healthcare prior authorizations, incoming calls, and staff credential records while supporting insurance verification, billing, scheduling, and other healthcare administration.
