Medical Billing Specialist

VANGUARD SKIN SPECIALISTS•Colorado Springs, CO

2d•$20 - $23•Hybrid

About The Position

The 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. The Level I and Level II Billing Specialist roles are meant for entry-level to 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.

Requirements

1–2 years of experience in medical billing or revenue cycle management required
Proficient understanding of coding principles, payer billing guidelines, and authorization processes
Strong problem-solving abilities and excellent communication skills
Effective time management with exceptional attention to detail
Demonstrated analytical thinking and sound judgment
Commitment to the mission and values of Vanguard Skin Specialists

Responsibilities

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.