Medical Billing Specialist

Vanguard Skin Specialists is a dermatology and plastic surgery practice serving communities in southern Colorado. Our mission is to make a positive impact on our patients, our community, and our world. This mission drives everything we do from opening offices in underserved areas to sponsoring humanitarian projects to volunteering locally and abroad.

We have been recognized as a best workplaces in Colorado Springs by the Gazette for seven years in a row and as one of the top 150 workplaces in Colorado by the Denver Post for the last five years.

Overview

The Medical Billing Specialist is responsible for supporting the full revenue cycle through accurate coding review, payer rule verification, authorization submission, patient estimate generation, account resolution, and customer service support. This role works closely with clinical teams, patients, and insurance payers to ensure timely and compliant billing processes. All Billing Specialists will participate in team workshops and project days to support continuous improvement initiatives.

Duties and Responsibilities

The Billing Specialist roles are meant for intermediate skill sets looking for a position focused on foundational billing tasks and developing a strong understanding of coding validation, and responsibility for routine A/R management. This role provides essential administrative support to both patients and internal departments.

• Independently review and process coding corrections, payer rules, and documentation requirements identified by the RCx Coding Application.
• 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 overpayments, initiate refund workflows, and provide supporting documentation.
• Serve as a primary responder for the Billing Phone Line and Billing Inbox.
• Provide technical support to internal customers through the Billing Help Desk
• Participate and contribute to departmental workshops and project days.