Full-Cycle Revenue Cycle Medical Biller (Dermatology)

Staffing For Doctors; Philippines; Remote; PHP 558.000 - 781.000; Vollzeit

Zusammenfassung

Staffing For Doctors is seeking a seasoned Full-Cycle Revenue Cycle Medical Biller with dermatology expertise for a remote position in the Philippines. The role owns the end-to-end revenue cycle, from coding reviews to resolving denials and recovering A/R, leveraging ModMed EMA.

The ideal candidate has hands-on dermatology billing experience, strong CPT/ICD-10/HCPCS knowledge, and a proactive problem-solving attitude to ensure timely reimbursements while maintaining HIPAA-compliant home office

Qualifikationen

• Full-cycle dermatology billing experience.
• Hands-on ModMed (EMA) experience.
• Solid CPT/ICD-10/HCPCS coding knowledge.
• Experience posting EOBs/ERAs and managing A/R aging.
• Ability to resolve denials and file appeals.

Aufgaben

• Full-cycle dermatology billing and claims submission.
• A/R aging management and payment posting.
• Verify patient ledgers and billing documentation in ModMed.
• Dermatology coding and claim auditing before submission.
• Denial investigation, correction, and appeals follow-up.
• Insurance follow-up for claims >30 days and trend reporting.

Kenntnisse

Dermatology billing

ModMed EMA

A/R aging management

Denials management

Coding proficiency

Remote setup

Tools

ModMed EMA

Jobbeschreibung

Full-Cycle Revenue Cycle Medical Biller (Dermatology)

Company : Staffing For Doctors Job Type : Full Time Philippines

Job Description - Full-Cycle Revenue Cycle Medical Biller (Dermatology)

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.