Medical Billing Specialist

Vanguard Skin Specialists; Colorado Springs (CO); Hybrid; USD 28,000 - 31,000; Full time

Benefits offered by this job

Paid time off

Medical benefits

Vision

Dental

401K

Graduate school stipend

Bereavement pay

Maternity leave

Employee discounts

Overtime eligibility

Job summary

Vanguard Skin Specialists is seeking a Medical Billing Specialist to support the full revenue cycle including coding review, payer rules, authorizations, patient estimates, and accounts resolution. You will collaborate with clinical teams, patients, and insurance payers to ensure timely and compliant billing processes.

This full-time role is based in Colorado Springs with one remote day per week after training.

Qualifications

• Experience in medical billing or revenue cycle management.
• Proficient understanding of coding principles and payer guidelines.
• Strong problem-solving abilities and excellent communication skills.
• Effective time management with meticulous attention to detail.
• Demonstrated analytical thinking and sound judgment.
• Commitment to Vanguard Skin Specialists' mission and values.

Responsibilities

• Independently review and process coding corrections, payer rules, and documentation requirements identified by the RCx Coding Application.
• Submit prior authorizations across a mix of payers, ensuring timely follow up and documentation.
• Provide comprehensive and timely surgery estimates to patients; clarify benefit discrepancies when needed.
• Manage assigned A/R worklists, including claim corrections, resubmissions, and denial follow-up.
• Research insurance overpayments, initiate refund workflows, and provide supporting documentation.
• Serve as a primary responder for the Billing Phone Line and Billing Inbox.
• Provide technical support to internal customers through the Billing Help Desk
• Participate and contribute to departmental workshops and project days.

Skills

Medical billing experience

Coding principles

Problem solving

Time management

Analytical thinking

Commitment to mission

Job description

Vanguard Skin Specialists is a dermatology and plastic surgery practice serving communities in southern Colorado. Our mission is to make a positive impact on our patients, our community, and our world. This mission drives everything we do from opening offices in underserved areas to sponsoring humanitarian projects to volunteering locally and abroad.

We have been recognized as a best workplaces in Colorado Springs by the Gazette for seven years in a row and as one of the top 150 workplaces in Colorado by the Denver Post for the last five years.

Overview

The Medical Billing Specialist is responsible for supporting the full revenue cycle through accurate coding review, payer rule verification, authorization submission, patient estimate generation, account resolution, and customer service support. This role works closely with clinical teams, patients, and insurance payers to ensure timely and compliant billing processes. All Billing Specialists will participate in team workshops and project days to support continuous improvement initiatives.

Duties And Responsibilities

The Billing Specialist roles are meant for intermediate skill sets looking for a position focused on foundational billing tasks and developing a strong understanding of coding validation, and responsibility for routine A/R management. This role provides essential administrative support to both patients and internal departments.

• Independently review and process coding corrections, payer rules, and documentation requirements identified by the RCx Coding Application.
• Submit prior authorizations across a mix of payers, ensuring timely follow up and documentation.
• Provide comprehensive and timely surgery estimates to patients; proactively clarify benefit discrepancies when needed.
• Manage assigned A/R worklists, including claim corrections, resubmissions, and denial follow-up.
• Research insurance overpayments, initiate refund workflows, and provide supporting documentation.
• Serve as a primary responder for the Billing Phone Line and Billing Inbox.
• Provide technical support to internal customers through the Billing Help Desk
• Participate and contribute to departmental workshops and project days.

Qualifications

• Experience in medical billing or revenue cycle management required
• Proficient understanding of coding principles, payer billing guidelines, and authorization processes
• Strong problem-solving abilities and excellent communication skills
• Effective time management with exceptional attention to detail
• Demonstrated analytical thinking and sound judgment
• Commitment to the mission and values of Vanguard Skin Specialists

Reviews

Vanguard Skin Specialists believe in providing regular feedback and encouraging professional development. Your first check-in with HR will be approximately 90 days from your date of hire. Written annual reviews take place each fall. For individuals with <6 months of tenure by fall review but >6 months tenure at spring review, then the initial review will take place in the spring review. You will receive training for your role, and you will be expected to take Vanguard courses and/or quizzes to remain employed and progress.

The practice promotes from within which provides opportunity for growth and advancement.

Schedule

This is a full-time, 40-hour, position with business hours Monday to Friday. This position is based out of Colorado Springs and offers 1 remote day per week, post training completion.

Compensation & Benefits

Compensation is $20.00-$22.75 an hour (based on experience) with eligibility for overtime and paid time off. The practice covers a portion of the premium for medical benefits and offers vision, dental, and 401K. The position also comes with Paid Time Off, Graduate School Stipend, bereavement pay, Paid Maternity & Bonding Leave, Employee Discounts on products and aesthetic services.

Physical Working Conditions

• Must be able to remain in a stationary position 90%
• The other 10% occasionally move about inside the office to access file cabinets, office printer, etc.
• Operate a computer and other office machinery, such as a calculator, printer, copier, scanner, or fax
• Be able to communicate accurately, effectively, and frequently
• Can identify color on the computer and software used

Offers for employment will be contingent on successful pre-employment screening for this position. The screenings will include a background check, drug screen, employment and education or licensure/certification verification, and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Vanguard Skin Specialists is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.