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Job Description
Administration - Billing Specialist
THE NEW DERMATOLOGY GROUP - 3.5
Green Bay, WI Job Details Full-time | Contract 3 hours ago Qualifications Teamwork High school diploma or GED Organizational skills Patient billing Health information management Time management Full Job Description Administration - Billing Specialist (1099 Independent Contractor) Join Our Growing Dermatology Team! At The New Dermatology Group, we are committed to providing exceptional, compassionate dermatologic care to patients of all ages. As our practice continues to grow, we are seeking a highly detail-oriented and dependable Billing Specialist (1099 Independent Contractor) to play a key role in our administrative operations. This position supports both dermatology clinic and ambulatory surgery center (ASC) billing, with a focus on accurate claims submission, proactive denial management, timely reimbursement follow-up, and strict adherence to payer guidelines and compliance standards. The ideal candidate will possess strong knowledge of medical billing processes, insurance regulations, ambulatory surgery center billing requirements, and revenue cycle management. The individual must demonstrate exceptional attention to detail, organizational skills, communication skills, and the ability to work independently while meeting established productivity and quality expectations. Essential Duties and Responsibilities As a key member of our administrative team, you will play a vital role in ensuring efficient and accurate billing processes by: Medical Billing & Revenue Cycle Management Submit, review, correct, and follow up on medical claims for professional and facility services. Review patient accounts for accuracy and completeness prior to claim submission. Verify insurance eligibility, benefits, authorizations, referrals, and coverage requirements. Create and review patient estimates and financial responsibility calculations. Research, correct, and resubmit denied, rejected, or underpaid claims. Monitor claim status and payer adjudication to ensure timely reimbursement. Post and reconcile insurance and patient payments as assigned. Maintain compliance with payer billing requirements, coding guidelines, and regulatory standards. Communicate with insurance carriers regarding claim status, appeals, and reimbursement issues. Assist patients with billing inquiries and account resolution. Ambulatory Surgery Center Billing Process and manage facility billing for outpatient surgical procedures. Review operative documentation, coding, and charge capture for completeness and accuracy. Submit facility claims to commercial insurance carriers, Medicare, Medicaid, and other payers as applicable. Monitor reimbursement for ambulatory surgery center services and investigate payment discrepancies. Coordinate with providers, coders, and clinical staff to resolve billing and documentation issues. Prepare and submit claim appeals related to outpatient surgery center denials and underpayments. Track key revenue cycle metrics related to surgical services and reimbursement performance. Maintain knowledge of ambulatory surgery center (ASC) reimbursement methodologies, payer contracts, and billing requirements. Administrative Duties Provide professional and courteous customer service via telephone, email, and written correspondence. Accurately enter, update, and maintain patient demographic and insurance information. Utilize Electronic Medical Record (EMR) systems, practice management systems, clearinghouses, and payer portals. Collaborate effectively with billing staff, providers, clinical personnel, and leadership. Participate in process improvement initiatives designed to enhance revenue cycle performance. Maintain confidentiality of patient, employee, and business information in accordance with HIPAA requirements. Perform other duties and special projects as assigned. Independent Contractor Status This position is classified as an Independent Contractor (1099) role. The individual engaged in this position is not an employee of the Company and is responsible for all applicable federal, state, and local taxes, insurance, licenses, and business expenses associated with the performance of services. Nothing in this description shall be construed as creating an employer-employee relationship. The Independent Contractor is expected to provide services in accordance with agreed-upon performance expectations while maintaining discretion over the manner and means of completing assigned work, consistent with applicable law and contractual obligations. Disclaimer The above information in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position. This job description can be modified based on business needs at any time, with or without notice. Qualifications Friendly, professional, and service-oriented demeanor. Strong attention to detail and commitment to accuracy. Excellent organizational and time-management skills. Ability to prioritize and manage multiple tasks simultaneously. Strong problem-solving and analytical abilities. Effective verbal and written communication skills. Ability to work independently with minimal supervision. Demonstrated ability to navigate multiple systems, departments, and third-party payer resources. Knowledge of medical terminology, insurance regulations, and healthcare billing practices. Education and Experience Required High school diploma or equivalent. Minimum of two (2) years of medical billing experience. Experience with insurance claims processing, denial management, and payer communications. Preferred Experience with dermatology billing. Experience with ambulatory surgery center (ASC) billing and facility claims. Experience with Medicare, Medicaid, and commercial payer reimbursement methodologies. Experience with athenahealth or similar EMR/practice management systems. CPC, CPB, COC, or equivalent billing/coding certification. Work Environment This position is performed in a professional office or remote work environment. The work environment is generally fast-paced and deadline-driven, requiring frequent interaction with patients, insurance carriers, providers, and staff. Physical Demands Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. While performing the duties of this position, the individual is regularly required to: Talk and hear. Sit for extended periods. Use hands and fingers to operate computers and office equipment. Reach with hands and arms. Occasionally stand and walk. Frequently view computer screens and electronic records. Possess close vision, distance vision, and the ability to adjust focus. If you're ready to bring your billing expertise to a growing, high-performing team where your work truly makes an impact, and you value flexibility, autonomy, and the opportunity to support the financial health of a thriving practice within a collaborative environment, we'd love to hear from you!
