[Hiring] Dermatology Insurance A/R Biller and Coder @Arizona Center for Cancer Care

Role Description

The dermatology insurance A/R biller and coder at Arizona Center for Cancer Care (AZCCC) is responsible for translating clinical documentation into accurate billing codes and managing the revenue cycle from claims submission through payment collection. This role reports to the Dermatology Billing Lead and works closely with them and fellow team members to ensure accurate charge capture, timely and clean claims submission, effective denial resolution, and healthy accounts receivable performance. This role may be performed remotely or in-office.

Duties and Responsibilities

• Reviews provider documentation to assign accurate CPT and ICD-10 codes for visit types ranging from routine skin checks to biopsies, excisions, Mohs micrographic surgery, cryotherapy, and cosmetic procedures.
• Applies correct modifiers to reflect multiple procedures performed in a single visit, in accordance with payer and coding guidelines.
• Queries providers for clarification when documentation is incomplete or does not support the code being billed.
• Prepares and submits clean claims to insurance payers (commercial, Medicare, Medicaid) via clearinghouse in a timely manner.
• Verifies that claims include all required documentation, prior authorizations, and referral information prior to submission.
• Distinguishes cosmetic (self-pay/non-covered) procedures from medically necessary ones to ensure proper billing pathway.
• Monitors outstanding claims and follows up on unpaid or aged accounts according to A/R aging reports.
• Investigates and resolves claim denials, rejections, and underpayments; resubmits corrected claims and files appeals with supporting documentation as needed.
• Posts payments, adjustments, and write-offs accurately in the practice management system, and reconciles insurance payments against contracted fee schedules.
• Identifies root causes of denials and escalates recurring trends to the Billing Lead, partnering with front office/scheduling staff to help prevent repeat issues (e.g., missing referrals, expired authorizations).
• Generates patient statements for balances after insurance adjudication (copays, coinsurance, deductibles, non-covered cosmetic services).
• Responds to patient billing inquiries and sets up payment plans as needed, escalating complex issues to the Billing Lead.
• Maintains audit-ready documentation for all coding decisions and supports internal or external billing audits as needed.
• Maintains compliance with HIPAA, payer guidelines, and CMS regulations in all billing and coding activity.
• Tracks and reports daily/weekly work completed per practice tracking procedures.
• Performs other duties as assigned by management.

Qualifications

• N/A

Requirements

• Works onsite in an office or clinical setting; remote or hybrid work may be permitted based on business needs and in accordance with Arizona Center for Cancer Care's Remote Work Policy.
• Emphasizes collaboration with various stakeholders.
• Necessitates effective communication and teamwork.
• Functions in a fast-paced environment.
• May require flexibility in working hours.
• Requires adherence to safety protocols and compliance with healthcare regulations.
• Valid driver’s license and reliable transportation for travel between locations.

Physical Requirements

• Must be able to lift 25 lbs.
• Must be able to sit, stand, and walk for extended periods of time.
• Must be able to bend, kneel, crawl, and twist as needed.
• Must be able to see, hear, type, and speak.
• Must be able to reach and pull.

EEO Statement

Arizona Center for Cancer Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.