Job Description
We are seeking a seasoned, detail-oriented Full-Cycle Revenue Cycle Medical Biller with specialized dermatology billing expertise to support a high-volume dermatology practice. In this role, you will take complete ownership of the end-to-end revenue cycle—from reviewing specialty coding to resolving complex denials and driving outstanding A/R recovery.
The ideal candidate possesses deep familiarity with dermatology procedures, demonstrates a proactive mindset toward uncollected claims, and brings recent, hands-on mastery of ModMed (Modernizing Medicine).
Working Schedule:
Status: Full-Time (40 Hours / Week)
Schedule: Monday – Friday, 8:00 AM – 5:00 PM EST (US Eastern Standard Time)
Top 3 Daily Tasks
- Full-Cycle Dermatology Billing & Claims Submission: Review CPT, ICD-10, and HCPCS coding for dermatology procedures; generate, audit, and submit clean primary/secondary claims.
- A/R & Aging Management: Work insurance aging reports, investigate unpaid or underpaid claims, post insurance payments (EOBs/ERAs), and file appeals/reconsiderations.
- Patient Ledger & Billing Documentation: Verify patient balances, resolve billing discrepancies, and maintain complete, accurate billing notes within ModMed.
Core Responsibilities
- Dermatology Coding & Claim Auditing: Verify CPT, ICD-10, and HCPCS codes specific to general, surgical, and cosmetic dermatology prior to claim submission.
- Denial & Appeals Management: Investigate rejected or denied claims, correct coding/modifier errors, submit formal reconsiderations, and follow up until final resolution.
- Payment Posting & Reconciliation: Accurately post insurance payments, contractual adjustments, and patient co-pays/coinsurance from EOBs and ERAs.
- Insurance Follow-Up: Conduct persistent follow-up with commercial and government payers on outstanding claims exceeding 30+ days in aging.
- Trend Analysis: Identify systemic payer denials or billing trends that impact reimbursement and report findings to management.
Requirements
Required Qualifications
- Specialty Billing Background: Proven full-cycle medical billing experience supporting a Dermatology practice.
- Software Requirement (Non-Negotiable): Recent, direct hands-on experience using ModMed (Modernizing Medicine / EMA).
- Coding Proficiency: Solid command of dermatology-specific CPT, ICD-10, HCPCS codes, and modifier applications (e.g., Modifier 25, 59).
- Revenue Cycle Mastery: Hands-on experience across claims submission, ERA/EOB payment posting, denial resolution, and A/R aging follow-up.
- Proactive Problem Solver: Self-starter mentality with the ability to take ownership of complex aging accounts without micro-supervision.
- Remote Setup: A private, HIPAA-compliant home office with a reliable computer setup, high-speed internet, and a clear headset.
Ideal Candidate Profile
You are a tenacious, sharp dermatology biller who knows ModMed inside and out. You treat unresolved claims as personal challenges, spot coding discrepancies before submission, and keep practice revenue flowing smoothly.
