Billing Specialist

North Idaho Dermatology Billing Specialist Opportunity

North Idaho Dermatology is looking for an individual with a passion for billing and customer service and a love of skincare to join our billing team in Coeur d'Alene!

We are looking to fill one full-time Billing Specialist vacancy. Hours may vary but generally range from 8:00 a.m. - 5:00 p.m. Monday through Friday. We offer medical, dental, and vision insurance benefits, as well as 401(k) matching contributions up to 4%! Employee's premiums for medical and dental are 100% paid by the company. Not only that, but employees also receive discounts on medical-grade spa products and cosmetic services, such as botox, filler, CoolSculpting, laser treatments and much more!

The Dermatology Billing Specialist plays a crucial role in the financial operations of a dermatology practice by managing billing processes, ensuring accurate reimbursement, and maintaining compliance with insurance policies and regulations.

Essential Functions

• Accurately assign appropriate medical codes (CPT, ICD-10, HCPCS) to dermatological procedures and services for billing purposes.
• Prepare and submit insurance claims for reimbursement, ensuring all required documentation is complete and accurate.
• Monitor and track payments, denials, and outstanding balances, taking necessary actions to ensure timely payment and minimize revenue loss.
• Respond to patient inquiries regarding billing statements, insurance coverage, and payment options, providing clear and accurate information and assistance as needed.
• Stay updated on changes in insurance regulations, coding guidelines, and billing practices to ensure compliance and prevent potential issues or penalties.
• Work closely with healthcare providers, administrative staff, and insurance companies to resolve billing issues, address concerns, and optimize revenue cycle processes.
• Work with reception staff, ensure appropriate collection of co-pays, spend down and self-pay fees.
• Posts adjustments, transfer of responsibility and refunds, as necessary.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Other duties as assigned.

Competencies

• Problem Solving/Analysis.
• Customer/Client Focus.
• Results Driven.
• Ethical Conduct.
• Thoroughness.

Position Requirements (Required & Preferred)

• Previous medical billing experience including knowledge of billing related reporting; 3 - 5 years' experience in health-care billing & collection practices.
• Working knowledge of insurance - HMO, PPO, EPO, Medicare, Indemnity, and Out-of-Network.
• Excellent customer service and communication skills along with good math skills, ability to read, understand and follow verbal or written instructions.
• Ability to navigate Health Plan websites.
• Working knowledge of computerized registration, billing, and collection procedures.
• Familiarity with ICD-10 and CPT coding.
• Strong interpersonal skills.
• High attention to detail and ability to multi-task.
• Working knowledge of medical billing systems, particularly EMA.
• Good phone etiquette.

Physical Demands and Work Environment:

• Physical demands: While performing the duties of this job, the employee is required to walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; balance; eye-hand coordination; handling and lifting patients; stoop; talk or hear. The employee must occasionally lift/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work environment: General office setting. Well-lighted and well ventilated. Constant contact with individuals from any backgrounds; minimum exposure to communicable diseases. Noise level in the work environment is usually moderate.