Medical Billing Specialist

Responsible for day-to-day medical billing and insurance claim follow-up for a dermatology practice. This role focuses on submitting claims electronically, communicating with insurers and patients, and supporting the appeals process when claims are denied.

Key responsibilities include:

• Submit claims to insurance companies daily, primarily electronically
• Maintain knowledge of which physicians accept which insurance plans
• Verify insurance eligibility for patients as needed
• Answer patient billing questions and help explain charges
• Contact insurance companies to check the status of outstanding claims
• Review insurance denials and determine next steps for appeal
• Gather supporting documentation for claim appeals and resubmit claims
• Explain benefits to patients when requested
• Use the electronic medical records system
• Follow HIPAA and other applicable medical office regulations