About the role
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.
Originally posted on Himalayas
