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SalaryRiverchase Dermatology, an AQUA Dermatology portfolio practice, is Florida’s largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology.
The Insurance Collections Specialist is responsible for timely, accurate, and comprehensive billing of all provider services utilizing appropriate CPT procedures and ICD-10 diagnosis codes, composing appeals to overturn denied claims as well as collecting, posting, and managing account payments.
ESSENTIAL FUNCTIONS
We offer competitive salaries and benefits:
EDUCATION AND EXPERIENCE:
The Insurance Collections Specialist is responsible for timely, accurate, and comprehensive billing of all provider services utilizing appropriate CPT procedures and ICD-10 diagnosis codes, composing appeals to overturn denied claims as well as collecting, posting, and managing account payments.
ESSENTIAL FUNCTIONS
- Maintains current and essential knowledge of all contracted insurance plans, as well as maintaining a working knowledge of payer portals and software.
- Prepares and submits clean claims to various insurance companies either electronically or by paper.
- Review medical record documentation to identify all services provided are accurately and appropriately reported using correct CPT and ICD-9/10 codes.
- Identifies trends/problems in medical documentation and recommends possible solutions.
- Responsible for the release of medical documentation to third-party payers, when necessary, while maintaining and abiding by federal laws governing such release.
- Review A/R aging and contact insurance companies to determine the status of overdue and outstanding insurance claims to resolve claims on time.
- Analyzes claim rejects and denials for correction and resubmission. Responsible for timely reporting/review to monitor claims not paid within 90 days.
- Processes payments from insurance companies ensuring that reimbursement is correctly made according to the terms of contractual agreements/fee schedules.
- Prints and mail claim forms and statements or processed through EDI as requested.
- Participates in educational activities and attends department staff meetings.
- Conducts oneself per company policies and procedures.
- Maintains strictest confidentiality, adhering to all HIPAA guidelines.
- Takes on additional special projects as assigned.
We offer competitive salaries and benefits:
- Medical, Dental, and Vision available after 30 days of hire
- Short-term disability and life insurance, and many ancillary options.
- 401k available after 90 days of hire
- Excellent growth and advancement opportunities
POSITION TYPE AND EXPECTED HOURS OF WORK
- Full-Time
- There is a possibility of working from home 2 days a week after 90 days of employment.
EDUCATION AND EXPERIENCE:
- Prior medical billing experience is required.
- College degree, or High School Diploma with equivalent work experience.
- Working knowledge of ICD-9/10, CPT, and HCPCS coding, fee schedule reimbursement methodology, and regulatory requirements for provider coding and reimbursement.
- Working knowledge of key coding concepts, such as CPT modifiers, surgical packages, medical record documentation requirements, and multiple procedure guidelines.
- Computer skills and proficiency in Excel, PowerPoint, etc. internet search functionality are required.
- General understanding of professional fee billing processes and procedures.
Founded in 1998, AQUA Dermatology is the Southeast’s premier dermatology practice with over 100 locations throughout Alabama, Florida, and Georgia. Our established practices and experienced physicians offer patients the highest quality outcomes and exceptional patient experience. From common rashes to skin cancer treatments, and plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!
