Full-Time

Medical Billing Specialist

Posted on 9/30/2024

Optima Dermatology

Optima Dermatology

51-200 employees

Comprehensive dermatology and cosmetic skin care services

Healthcare

Mid

Greenwood, IN, USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Requires a high school diploma or its equivalent.
  • Prefers 3 to 5 years of medical billing/insurance/coding.
  • Certified coding certificate a plus but not required.
  • Previous skills in healthcare is desirable.
  • Computer skills a must.
Responsibilities
  • Performs general administrative duties, which include answering telephone, keyboarding, filing, scanning, copying and maintaining records, faxing.
  • Greets and interacts professionally with all patients that enter the facility.
  • Check insurance eligibility electronically and call patients to obtain updated insurance information.
  • Obtain benefits for surgical patients.
  • Responsible for making pre-op calls to surgery patients to go over estimates and financial obligations and explaining financial options, including payment plans and counseling regarding patient bills.
  • Obtain authorizations and pre-certifications for the next day.
  • Understand EOBs and answer patient questions regarding EOBs, payments, and insurance.
  • Perform charge entry function. Enters all insurance and patient payments daily, including using the practice clearinghouse and EMR.
  • Post patient payments.
  • Perform all close of day activities, maintain petty cash, calculate daily collections and prepares bank deposit.
  • Collects all co-pays and deductibles, and co-insurances.
  • Bills all claims to appropriate payer within three days of service.
  • Collects, opens, sorts and distributes mail.
  • Mails or electronically sends all correspondence daily or as needed including billing statements and correspondence with insurance companies.
  • Responds to requests for medical record information from patients, physician offices, and other outside sources.
  • Maintains patient database.
  • Maintains confidentiality of all patient information.
  • Reconciles bank statements for PC and ASC.
  • Maintains accounts receivable including researching patient accounts, pulling up aging reports, fixing errors with claims and reporting to Dr. Murphy on a monthly basis concerning the AR report/cash flow.
  • Calling insurance companies about claim errors/denials.
  • Responsible for completing cancer policies, FMLA and Disability forms and collecting and posting charges as needed.
  • Must be organized and detail oriented.
  • Other administrative or billing duties as assigned.

Optima Dermatology provides a wide range of dermatology and cosmetic skin care services, catering to individuals with medical skin conditions like eczema and acne, as well as those seeking cosmetic enhancements. The company employs experienced providers who utilize the latest technologies in skin care, offering services that include medical, surgical, and cosmetic dermatology all in one location. What sets Optima Dermatology apart from its competitors is its focus on high-quality, patient-centered care, treating every patient with the same care as a friend or family member. This approach not only improves patient satisfaction but also encourages repeat visits and referrals. The goal of Optima Dermatology is to deliver exceptional patient experiences while addressing diverse skin care needs.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Portsmouth, New Hampshire

Founded

2018

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Teledermatology can expand Optima's reach and patient base significantly.
  • AI integration in diagnostics can enhance service accuracy and efficiency.
  • Growing demand for non-invasive procedures aligns with Optima's cosmetic service offerings.

What critics are saying

  • Increased competition could dilute Optima's market share in key regions.
  • Teledermatology's rise may threaten Optima's traditional consultation model.
  • Rising equipment costs could impact financial margins and facility maintenance.

What makes Optima Dermatology unique

  • Optima Dermatology employs industry-leading providers using the latest skin care technologies.
  • They offer comprehensive services, including medical, surgical, and cosmetic dermatology under one roof.
  • Their patient-centric approach treats every patient like family, enhancing satisfaction and loyalty.

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