Mandel Dermatology is a physician-led, family-run practice providing medical, cosmetic, and surgical dermatology since 1963. We combine personalized patient care with modern technology and a collaborative team across multiple locations.
Position Summary
We are seeking an experienced Medical Biller (Specialist, Medical Accounts Receivable - Denials & Insurance Follow-Up) to focus on accounts receivable, insurance follow-up, and denial resolution. This role is responsible for investigating unpaid and underpaid claims, resolving billing issues, and following accounts through to payment or appropriate resolution.
The ideal candidate is organized, persistent, and comfortable working independently in a remote environment while communicating closely with our Revenue Cycle Manager and office teams.
Key Responsibilities
- Review aging reports and prioritize outstanding claims based on age, balance, and filing or appeal deadlines.
- Follow up with insurance carriers through payer portals and phone calls to determine claim status and resolve payment delays.
- Investigate denials and underpayments, identify root causes, and submit corrected claims, reconsiderations, and appeals as appropriate.
- Review explanations of benefits and electronic remittance advice to identify payment discrepancies and required next steps.
- Resolve eligibility, coordination of benefits, and other claim issues in collaboration with office teams.
- Coordinate with providers and office teams when claim resolution requires documentation or coding clarification.
- Maintain clear account notes documenting actions taken, payer responses, and follow-up dates.
- Identify recurring payer or billing issues and escalate trends to the Revenue Cycle Manager.
- Follow practice policies for adjustments, write-offs, and patient balances while maintaining patient confidentiality.
Qualifications
- Prior medical billing experience with direct responsibility for insurance A/R follow-up and denial management.
- Working knowledge of the medical claims lifecycle, payer requirements, CPT and ICD-10 codes, and modifiers.
- Ability to interpret EOBs and ERAs and determine the appropriate action for unpaid or denied claims.
- Strong attention to detail, follow-through, and written and verbal communication skills.
- Ability to manage an assigned workload independently and meet established productivity and quality expectations.
- Reliable internet access and a private workspace suitable for handling confidential patient information.
- Dermatology billing experience and familiarity with ModMed are strongly preferred.
*Mandel Dermatology is an equal opportunity employer.*