Senior Medical Billing Specialist

Senior Medical Billing Specialist – Vanguard Skin Specialists

Vanguard Skin Specialists is a dermatology and plastic surgery practice serving communities in southern Colorado. Our mission is to make a positive impact on patients, community, and the world. This role supports the full revenue cycle through accurate coding review, payer rule verification, authorization submission, patient estimate generation, account resolution, and customer service support.

• Independently review and process coding corrections, payer rules, and documentation requirements identified by the RCx Coding Application.
• Manually code OR Face Sheets for our Plastic Surgeons and enter charges into the RCx Coding Application.
• Monitor Charge Reconciliation and coordinate with Providers and Clinical teams to ensure timely submission.
• 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 over payments, initiate refund workflows, and provide supporting documentation.
• Serve as an expert resource for the Billing Phone Line, Billing Inbox, and Billing Help Desk.
• Participate and contribute to departmental workshops and project days.
• Mentor team members, assist with training and onboarding of new staff.
• Assist leadership with reporting, trend identification, and process enhancement initiatives.

• Minimum 2 years of experience in medical billing, A/R management, or revenue cycle operations.
• Strong knowledge of coding validation, payer rules, authorizations, and denial management.
• Proven ability to resolve complex billing issues independently.
• Excellent communication, analytical, and training abilities.
• Effective time management with exceptional attention to detail.
• Commitment to the mission and values of Vanguard Skin Specialists.

Compensation is $23.00-$26.00 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 includes Paid Time Off, Graduate School Stipend, bereavement pay, Paid Maternity & Bonding Leave, and Employee Discounts on products and aesthetic services.

• Must be able to remain in a stationary position 90% of the time.
• Occasionally move around inside the office to access file cabinets, office printer, etc. (10% of the time).
• Operate a computer and other office machinery, such as a calculator, printer, copier, scanner, or fax.
• Communicate accurately, effectively, and frequently.
• Identify color on the computer and software used.

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.