Company Overview
Dermatologists of Central States (DOCS) is one of the largest and most established dermatology practices in the nation. With more than 186 providers within 80+ locations in 7 states, we have been serving patients for over 40 years. At DOCS, we strive to put the patient first with an emphasis on medical, surgical, and cosmetic dermatology. We provide easy access to high quality dermatologic care in an environment that is consistently friendly, convenient, courteous, and caring.
Summary
The Medical Billing Specialist is responsible for accurate and timely processing of all third-party billing (claims) and self-pay billing; performs all routine follow-up until the collection or final disposition of the account balance. Interacts routinely with physicians, managers, and office staff to maintain accurate and timely reimbursements. Responsibilities include all Professional Billing system documentation, adjustments, accurate demographic, and insurance coverage entry verifying eligibility when available. Medical Billing Specialists are required to verify insurance eligibility before accepting new or corrected charges.
Responsibilities
- Responsible for the accurate and timely filing of all third-party claims on behalf of patients/guarantors.
- Coordinates primary and secondary third-party coverage and bills in accordance with regulations.
- Ensures revenue (charges, payments, and adjustments) is recognized, billed, collected, posted, and followed up on accurately and in a timely manner to maximize collections.
- Verifies electronic eligibility before submitting charges, when applicable, on claims to promote clean claims submission.
- Performs all routine and special follow-up on all assigned accounts using telephone and appropriate correspondence to enhance the effective collection of the account balance; negotiates payment terms for payment plans, coordinates collection activities between patients and third parties.
- Follows all documented policies.
- Uses appropriate write off codes.
- Documents all activity on accounts, including corrections, collection activities using detailed notes including dates, reference numbers, next actions to be taken, and next follow up steps.
- Receives, responds, and clearly documents all incoming account inquiries, both telephone, and correspondence.
- Implements the standards for DOCS, including the Customer Service and Teamwork standards.
- Handles clearinghouse edits and rejections
- Must have the ability to work independently and be a self-starter
- Other duties as assigned.
Qualifications
- High School diploma or equivalent certificate
- Knowledgeable about third party billing regulations and CPT/HCPCS and ICD10 coding
- Data entry skills
- Proficient in Microsoft Office (Outlook, MS Teams, Word) Some Excel experience preferred.
- Proven record of dependability
- Proficiency in medical terminology and anatomy (Dermatology) a plus.
- Experience with electronic patient account billing systems preferred
- Knowledge, Skills, and Abilities
- Strong people, communication, and decision-making skills
- Must be self-motivated and be able to work independently and proactively. Able to handle and prioritize numerous and varied requests and tasks and reprioritize as needed.
- Able to handle ambiguity and remain flexible. Respond constructively to the demands of work schedule when confronted with change. Must be proactive instead of reactive.
- Must be able to develop and maintain professional, service-oriented working relationships with senior leadership, patients, physician, co-workers, and employees.
- Must prepare, review, and transmit claims using billing software, including electronic processing.
- Must have a positive attitude and enjoy working as part of a team.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status