Skinandcancerinstitute
Billing Specialist (Remote)
Skinandcancerinstitute, California, Missouri, United States, 65018
Join Our Team at Skin and Cancer Institute!
Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us?
At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. POSITION SUMMARY:
Reports To: Billing Manager The Billing Specialist (Internal Scrub & Clearinghouse Corrections) supports Skin and Cancer Institute (SCI) Dermatology by ensuring accurate and timely claim submission after charges have been coded and posted to the practice management system. This role focuses on internal claim scrub corrections and resolving clearinghouse edits to produce clean claims that meet payer requirements. WHAT YOU'LL DO:
Internal Scrub & Clearinghouse Corrections Review claims flagged by internal scrub configurations or clearinghouse errors; perform corrections promptly according to internal processes or payer‑specific rules. Validate claim elements such as patient demographics, insurance information, NPI/Tax ID, POS, and modifiers for compliance. Resubmit corrected claims through clearinghouse and confirm acceptance status. Document all corrections and actions in the EHR/RCM system for audit and compliance. Monitor work queues daily; identify abnormal trends (e.g., recurring edit types, payer‑specific issues) and elevate to management with recommendations. Collaborate with coding and registration teams to prevent recurring errors by sharing feedback and best practices. Compliance & Audit Protect PHI and adhere to HIPAA and SCI privacy/security policies; maintain confidentiality of medical records and billing data. Follow federal/state regulations and payer contracts; ensure adherence to payer‑specific guidelines and clearinghouse standards. Participate in internal audits and assist with implementing corrective actions for process improvement. Tools & Systems Utilize Microsoft 365 apps, EMA/ModMed, TriZetto, and payer portals for claim submission and tracking. Maintain proficiency in clearinghouse dashboards and EDI transaction monitoring (837, 277CA). WHAT WE'RE LOOKING FOR:
REQUIRED SKILLS/ABILITIES Strong understanding of healthcare revenue cycle, specific to insurance requirements for dermatology. Excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of UB–04 and/or CMS‑1500 claim forms, billing guidelines, insurance contracts, and payment methodologies. Exceptional attention to detail; ability to manage high‑volume work queues and meet deadlines. EDUCATION AND EXPERIENCE High school diploma or equivalent required; Associate degree or certificate in Medical Billing preferred 1–3 years of medical billing experience (dermatology experience preferred) CPB or equivalent certification a plus What We Offer:
Competitive salary and benefits Health, dental, vision, and ancillary insurance options 401K retirement savings Paid time off Professional development opportunities Supportive and fair work environment Apply Today! Be a part of a dynamic team that’s transforming skin health. Submit your resume and cover letter to careers@skinusa.com. We can't wait to meet you! #HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring
#J-18808-Ljbffr
Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us?
At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. POSITION SUMMARY:
Reports To: Billing Manager The Billing Specialist (Internal Scrub & Clearinghouse Corrections) supports Skin and Cancer Institute (SCI) Dermatology by ensuring accurate and timely claim submission after charges have been coded and posted to the practice management system. This role focuses on internal claim scrub corrections and resolving clearinghouse edits to produce clean claims that meet payer requirements. WHAT YOU'LL DO:
Internal Scrub & Clearinghouse Corrections Review claims flagged by internal scrub configurations or clearinghouse errors; perform corrections promptly according to internal processes or payer‑specific rules. Validate claim elements such as patient demographics, insurance information, NPI/Tax ID, POS, and modifiers for compliance. Resubmit corrected claims through clearinghouse and confirm acceptance status. Document all corrections and actions in the EHR/RCM system for audit and compliance. Monitor work queues daily; identify abnormal trends (e.g., recurring edit types, payer‑specific issues) and elevate to management with recommendations. Collaborate with coding and registration teams to prevent recurring errors by sharing feedback and best practices. Compliance & Audit Protect PHI and adhere to HIPAA and SCI privacy/security policies; maintain confidentiality of medical records and billing data. Follow federal/state regulations and payer contracts; ensure adherence to payer‑specific guidelines and clearinghouse standards. Participate in internal audits and assist with implementing corrective actions for process improvement. Tools & Systems Utilize Microsoft 365 apps, EMA/ModMed, TriZetto, and payer portals for claim submission and tracking. Maintain proficiency in clearinghouse dashboards and EDI transaction monitoring (837, 277CA). WHAT WE'RE LOOKING FOR:
REQUIRED SKILLS/ABILITIES Strong understanding of healthcare revenue cycle, specific to insurance requirements for dermatology. Excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of UB–04 and/or CMS‑1500 claim forms, billing guidelines, insurance contracts, and payment methodologies. Exceptional attention to detail; ability to manage high‑volume work queues and meet deadlines. EDUCATION AND EXPERIENCE High school diploma or equivalent required; Associate degree or certificate in Medical Billing preferred 1–3 years of medical billing experience (dermatology experience preferred) CPB or equivalent certification a plus What We Offer:
Competitive salary and benefits Health, dental, vision, and ancillary insurance options 401K retirement savings Paid time off Professional development opportunities Supportive and fair work environment Apply Today! Be a part of a dynamic team that’s transforming skin health. Submit your resume and cover letter to careers@skinusa.com. We can't wait to meet you! #HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring
#J-18808-Ljbffr