MEDICAL BILLING SPECIALIST

Job Description

Job Description

Position Title: Medical Billing Specialist

Department: Billing and Insurance

Reports To: Billing and Insurance Manager

Category: Operations Support

FLSA Status: Non-exempt

Company Overview:

Bare Dermatology is a dynamic dermatology group dedicated to providing the highest quality clinical care and exceptional patient experiences. We foster a collaborative, inclusive, and people-centered environment where employees feel valued and empowered to learn and grow. Our unwavering commitment to both our patients and our team sets us apart as a leader in dermatological care.

The Ideal Bare Dermatology Teammate:

To thrive in our environment, you will embody these qualities:

• Positive Attitude:You approach challenges with optimism and enthusiasm.
• Results-Oriented:You sethigh expectationsand strive for excellence in all you do.
• Innovative:Youthink outside the boxand seek creative solutions.
• Passionate:You are dedicated to your work and driven to make a difference.
• Self-Motivated:You take initiative and proactively seek out ways to improve.
• Collaborative:You are a team player who values communication and cooperation.

Summary:

The Medical Billing Specialist plays a crucial role in ensuring accurate and timely billing and claims processing, ultimately contributing to the financial health of Bare Dermatology. This detail-oriented individual will monitor accounts receivable, resolve billing issues, and maintain the integrity of our billing systems.

Essential Duties and Responsibilities:

• Monitor patient claims processing and accounts receivable.
• Contact patients, care centers, and customer service agents to resolve insurance or patient account issues.

• Collaborate with departments to obtain information for filing, re-filing, and collection of outstanding accounts.
• Maintain file accuracy and account tasking inModMed'spractice management system.
• Provide excellent customer service to patients, physicians, staff, and vendors.
• Utilize proper telephone etiquette and communication skills.
• Develop and analyze reports for billing and insurance management.
• Respond promptly to emails and tasks.
• Communicate professionally and kindly with clinic staff.
• Assistwith problem-solving and process improvement.
• Utilize resources effectively and seek guidance when needed.
• Work independently and meet deadlines.
• Attend annual compliance training and pass testing.

Supervisory Responsibilities: No

Qualifications:

• Education:High School Diploma or GED
• Experience:1+ year of recent experience as a Medical Billing Specialist or similar role
• Skills:

• Understanding of ICD-10, CPT, and HCPS coding
• Knowledge of medical terminology, procedures, and insurance processes
• Proficiencyin spreadsheet creation and analysis (Excel/Google Sheets)

• Certifications/Licenses:Continuing education, certification courses, or education in billing and coding preferred.

• Software:Knowledge of EMA/ModMed software strongly preferred

Work Environment:
This position operates on-site in our Rockwall clinic.

Compensation and Benefits:
Comprehensive benefits package provided, including a 401(k) plan.

Career Development Opportunities:
The organization provides opportunities for continued professional development and training to support employee growth and advancement.

Confidentiality:
The employee acknowledges that all patient information, financial data, business strategies, and other information encountered during the course of employment with Bare Dermatology is strictly confidential. Any unauthorized disclosure of this information to individuals or entities outside of Bare Dermatology is prohibited and may result in immediate termination of employment and potential legal action.

Physical Demands:
This position requires the ability to occasionally lift and/or move up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Additional Duties and Coverage:
This job description is not exhaustive, and other duties may be assigned as needed. At times, you may be required to assist in other offices or departments based on the needs of the organization. Reasonable notice will be provided prior to such requests, and your cooperation and flexibility are essential to ensuring the smooth operation of our team.

Acknowledgment and Agreement:
I have read and understand this job description and confirm that I meet the qualifications outlined. I agree to perform the duties and responsibilities to the best of my ability.