Remote Provider Credentialing Jobs in Arizona (NOW HIRING)

Job DetailsJob Location: Modern Derm Scottsdale - Scottsdale, AZ 85251Position Type: Full TimeEducation Level: High SchoolTravel Percentage: NoneJob Shift: DayJob Category: Health CareJob Summary The Lead Dermatology Billing Specialist at Arizona Center for Cancer Care (AZCCC) is responsible for overseeing the day-to-day performance of the practice\'s billing and coding operations, including direct supervision of the Insurance A/R Biller and Coder team. This role ensures accurate charge capture and coding, timely and clean claims submission, effective denial management, and healthy accounts receivable performance. The billing specialist- lead serves as the primary point of escalation for complex coding and payer issues, monitoring key revenue cycles metrics and reports performance and trends to practice leadership. This role may be performed remotely or in office. Duties and responsibilities \tSupervises, trains, and supports the Insurance A/R Biller and Coder team, including daily workflow oversight and ongoing coaching. \tReviews and audits medical coding for accuracy, including CPT and ICD-10 code assignment and modifier usage, for dermatology-specific procedures (e.g., biopsies, excisions, Mohs micrographic surgery, cryotherapy, and cosmetic services). \tOversees claims submission workflows to ensure clean claims and minimize front-end rejections. \tManages complex, escalated, or high-dollar denials and payer disputes, including drafting and reviewing appeal letters with supporting clinical documentation. \tMonitors accounts receivable aging reports and ensures timely, consistent follow-up on outstanding claims across all payers. \tTracks and analyzes denial and rejection trends; partners with front office and scheduling teams to correct root causes such as missing referrals, authorizations, or eligibility issues. \tServes as the practice\'s subject matter expert on dermatology-specific coding and payer billing requirements. \tEnsures billing and coding practices comply with HIPAA, CMS regulations, payer guidelines, and internal compliance policies. \tPrepares and presents revenue cycle performance reports to practice leadership, including collection rates, days in A/R, denial rates, and outstanding balances. \tServes as the primary point of contact for billing-related issues within the EMR/practice management system (ModMed), coordinating with IT or the vendor as needed. \tReviews and approves adjustments and write-offs within designated authority levels. \tSupports credentialing and payer enrollment coordination as needed. \tPerforms hands-on billing and coding duties directly, as volume or staffing needs require. \tStays current on dermatology coding updates, payer policy changes, and industry best practices, and communicates relevant changes to the billing team. \tConducts regular team meetings and contributes to performance evaluations for billing staff. \tResponds to patient billing inquiries that have been escalated beyond the initial biller. \tPerforms other duties as assigned by management.   Direct reports \tN/A   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. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.QualificationsQualifications and Educational Requirement \tHigh School Diploma or GED required; Associate\'s degree in health information management, medical billing/coding, or related field preferred. \tMinimum of five (5) years of medical billing and coding experience required, with dermatology-specific experience required. \tMinimum of two (2) years in a lead, supervisory, or senior billing role required. \tAbility to demonstrate strong knowledge of dermatology-specific CPT and ICD-10 coding, including lesion excisions, Mohs micrographic surgery, and phototherapy. Licensure and Certifications \tN/A   Working conditions \tWorks 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. \tEmphasizes collaboration with various stakeholders. \tNecessitates effective communication and teamwork. \tFunctions in a fast-paced environment. \tMay require flexibility in working hours. \tRequires adherence to safety protocols and compliance with healthcare regulations. \tValid driver’s license and reliable transportation for travel between locations. Physical requirements \tMust be able to lift 25 lbs. \tMust be able to sit, stand, and walk for extended periods. \tMust be able to bend, kneel, crawl, twist, reach, and pull as needed. \tMust be able to see, hear, type, and speak.