Medical Billing Specialist

Job DescriptionCompany Description ModuleMD is a leading provider of innovative healthcare solutions, specializing in Electronic Health Records (EHR) and AI-driven tools designed to enhance clinical workflows. ModuleMD is dedicated to streamlining medical processes and improving patient care through cutting-edge technology. Our solutions are trusted by healthcare professionals seeking efficiency and accuracy. Join our dynamic team to contribute to advancing healthcare technology.  Role Description This is a full-time remote role for a Medical Billing Specialist. The Medical Billing Specialist will be responsible for managing billing processes, handling insurance claims, processing denials, and ensuring accurate application of medical coding (ICD-10). This role also involves working with Medicare and other insurance providers to maximize revenue and ensure compliance.  Responsibilities Review, prepare, and submit accurate medical claims (electronic and paper) to insurance carriers. Ensure claims are clean to avoid rejections. Interact effectively and professionally with medical offices and their patients on behalf of ModuleMD providing information about their insurance payments and claims processing.  Perform charge entry using CPT, ICD-10, and HCPCS codes. Provide medical offices with education on best practices in billing to improve overall success. Maintain strict compliance with HIPAA and all applicable federal/state regulations. Keep up to date with billing rules, insurance requirements, and payer policy changes. Review rejections and file corrected claims. Research and appeal denied claims. Access carrier websites for claim and eligibility information Interpret and process Explanation of Benefits. Monitor client accounts and provide weekly updates identifying issues and possible resolutions.  Post payments Bill patients for responsible portions and have the ability to relay information regarding copays, deductibles and coinsurance. Answer patient calls regarding statements and balances.   Required Qualification Associate’s degree or higher Minimum of 3 years’ experience in medical billing, coding or healthcare revenue cycle operations. Strong understanding of medical terminology, coding systems (CPT, ICD-10), and billing guidelines.Understanding of modifier usage (e.g., 25, 59, 51, 50) in dermatology billing.Proficiency in medical billing software and EHR systems Familiar with Dermatology-specific LCD/NCD policies. Preferred Experience2–3 years’ experience in Dermatology billing or similar specialty.CPC or CPB certification (AAPC) preferred.Experience differentiating cosmetic vs. medically necessary procedures and billing accordingly. Skills Required Effective communication skills Basic to advance computer skills: MS Office Suite - Word, Excel Creative problem-solving skills Work Independently as well as be a collaborative team member Multitasking  Benefits OfferedModuleMD is an equal opportunity employer. We are dedicated to creating an inclusive, close-knit work environment where everyone is encouraged to be a part of the collaborative process and use individual strengths to shape their role at the company. Many of the benefits that come from working at ModuleMD are intangible, but we know how important standard benefits are. Here are some of the other benefits you can expect:·      Competitive base salary plus commission plan·      Opportunity for career progression in a growing company·      Work remotely from the comfort of your home, occasional travel to the client site·      401(k) retirement plan·      Paid Time Off (PTO)·      Paid Holidays·      Comprehensive insurance package including medical, dental, vision, and life insurance