Job Summary
Our Dermatology and Mohs Surgery practice is seeking an experienced Billing & Revenue Cycle Manager to oversee the financial and insurance-related operations of the practice.
This is an in-person position. This is not a remote or work-from-home opportunity.
The ideal candidate is highly organized, detail-oriented, analytical, and experienced in medical billing, insurance claims, collections, and revenue cycle management. Some understanding of insurance credentialing and provider enrollment as it relates to billing and reimbursement is preferred.
This person will serve as the primary liaison between clinic leadership, patients, insurance companies, and our third-party billing company. This position plays a critical role in ensuring that services are billed accurately, paid appropriately, and collected efficiently.
Accuracy is critical to this position. The successful candidate must be able to identify errors, investigate discrepancies, follow issues through resolution, and maintain exceptional attention to detail.
This is a full-time position of approximately 45 hours per week.
Primary Responsibilities
Revenue Cycle Oversight
- Monitor the full revenue cycle from patient check-in through final payment collection.
- Monitor point-of-service collections, including copays, deductibles, coinsurance amounts, and outstanding patient balances collected at check-in and check-out.
- Review billing workflows and identify opportunities to improve collections, reduce delays, and increase overall revenue performance.
- Work closely with clinic leadership and our third-party billing company.
- Track and analyze key performance indicators related to collections, denials, reimbursement, and accounts receivable.
Insurance Claims & Payments
- Review insurance claim activity and payment trends.
- Investigate denied, delayed, underpaid, or rejected claims.
- Coordinate with the billing company to resolve claim issues and payment discrepancies.
- Monitor accounts receivable aging reports and follow-up activity.
- Assist in identifying charge capture opportunities and ensure services performed are appropriately documented and billed.
- Help identify payer patterns, recurring billing issues if applicable, and opportunities for process improvement.
Patient Billing & Collections
- Assist patients with billing questions and account concerns.
- Review patient balances and payment plan options.
- Coordinate bad debt and collection agency processes when necessary.
- Monitor collection efforts to ensure professionalism, compliance, and effectiveness.
- Assist leadership in improving patient collection processes and financial accountability.
Credentialing Oversight & Provider Enrollment
- Work closely with our third-party credentialing company to support:
- Provider credentialing and recredentialing activities.
- Enrollment tracking and status monitoring.
- Credentialing deadlines and renewal requirements.
- Insurance participation updates.
- Coordination of payer contracting and network participation matters.
- Help identify credentialing issues that may impact reimbursement or claim payment.
Insurance Contract & Reimbursement Review
- Help evaluate insurance reimbursement trends.
- Research payer policies, coverage guidelines, and fee schedules.
- Identify potential underpayments and reimbursement discrepancies.
- Assist practice leadership in understanding payer performance, reimbursement patterns, and profitability.
- Escalate reimbursement concerns and work toward resolution when payment issues are identified.
Reporting & Analysis
- Prepare reports regarding collections, accounts receivable, denials, reimbursement performance, and revenue cycle metrics.
- Monitor financial indicators and identify areas requiring attention.
- Maintain accurate records and supporting documentation.
- Assist practice leadership with operational decision-making.
Compliance & Accuracy
- Maintain HIPAA compliance.
- Ensure billing and credentialing documentation is complete and accurate.
- Follow all applicable payer, regulatory, and compliance requirements.
- Assist with insurance audits, documentation requests, payment reviews, and audit preparedness activities.
Qualifications
Required
- Experience in medical billing, revenue cycle management, healthcare administration, or a related field.
- Strong understanding of medical insurance terminology, claims processing, collections, and reimbursement.
- Excellent organizational and problem-solving skills.
- Strong computer proficiency.
- Experience with Microsoft Word, Excel and reporting tools.
- Exceptional attention to detail and accuracy.
- Professional written and verbal communication skills.
- Ability to manage multiple projects simultaneously while maintaining organization and follow-through.
Preferred
- Dermatology billing experience, or a related medical field.
- Experience working with accounts receivable and collections management.
- Experience reviewing insurance contracts and reimbursement data.
- Some credentialing experience or familiarity with provider enrollment processes.
- Familiarity with ModMed (Modernizing Medicine) or other electronic medical record systems.
What Makes Someone Successful In This Role?
The ideal candidate:
- Enjoys working with details, numbers, reports, and processes.
- Likes solving complex reimbursement and insurance-related problems.
- Is highly organized, persistent, and dependable.
- Takes ownership of projects and follows them through completion.
- Communicates professionally with patients, insurance companies, billing vendors, credentialing vendors, and healthcare partners.
- Is comfortable spending most of the workday working on a computer.
- Has a strong sense of accountability and accuracy.
- Understands that small details can have a significant impact on reimbursement, customer experience and practice revenue.
This position is primarily computer-based and involves spending most of the workday reviewing accounts, claims, reports, reimbursements, spreadsheets, billing records, and insurance communications.
This position is ideal for someone who enjoys improving systems, tracking financial performance, solving reimbursement challenges, and helping a medical practice operate efficiently and successfully.
Pay: $22.00 - $30.00 per hour
Expected hours: 45.0 per week
Benefits:
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- This position is an in-office, computer-based role that involves spending most of the workday reviewing claims, payments, denials, accounts receivable reports, spreadsheets, and insurance communications. Are you comfortable working in this type of environment approximately 45 hours per week?
- How many years of experience do you have working with medical billing, insurance claims, accounts receivable (A/R), denials, patient collections, or revenue cycle management? (Options: none, 1 year, 3+ years, 5+ years)
Work Location: In person
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