Claim Edit Specialist (Laboratory) - Remote

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Purpose: Responsible for identifying and resolving third-party payer rejections. Will assist in resolution of edits/ errors that may result in nonpayment of charges or prevent charges from being accepted by payers. Also responsible for entering bills/charges with input from certified coding team when necessary. Essential Duties and Responsibilities: Manage claims returned which have failed scrub rulesIdentify and resolve payer rejections in a timely mannerEnter charges/bills into EMR in coordination with certified coding team/Coding managerMonitor missing charges and communicate with RCM management as neededMust have knowledge of claim correction, electronic claim submissionAbility to contact payers when necessary to resolve any issuesReport any trends in a timely manner to RCM leadership that prevent successful claim submissionAbility to effectively communicate with other departments such as Coding, AR/Follow-up, Patient Services and Posting Requirements 1-3 years' experience in a medical/insurance environment for physician practice or billing companyRevenue cycle experience preferredComplete Modernizing Medicine University courses within 6 months of hireStrict attention to detailAbility to meet deadlines in a fast paced, start-up, results-oriented environment, as well as excellent organizational skillsExcellent verbal and written communication skillsProficient Microsoft Office Suite products, specifically Excel and ability to analyze large data setsAbility to collaborate and work in a team environment Benefits Benefits of joining Qualderm Partners: Competitive Pay - Attractive compensation to reward your hard work Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year Company-Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans Disability Protection - Short-term and long-term disability coverage to protect you in unexpected circumstances Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security Employee Assistance Program (EAP) - Access confidential support for personal or work-related challenges Exclusive Employee Discounts - Save on products and services with special discounts just for you Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis. Compensation Range: $19.35 - $27.33 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.