Similar Jobs
See allPatient Access Insurance Verification Specialist
Vail Valley Surgery Center
US
Insurance Verification
Medical Terminology
ICD-10
Eligibility & Benefits Specialist
Oshi Health
US
Revenue Cycle Management
Insurance Verification
EMR Systems
ABA Authorization Specialist
Silna Health
Global
Prior Authorization
Insurance Verification
EMR/EHR
Insurance Reimbursement Specialist
CareDx
US
Medical Billing
HIPAA
Prior Authorization Specialist
Raventra Health
Prior Authorization
Medical Billing
Clinical Documentation
Position Summary:
- The RCM Benefits & MOHS Claims Lead ensures accurate insurance workflows and clean claims submission for MOHS and dermatology providers.
- This individual-contributor lead role provides daily guidance and workflow leadership to Insurance Verification and Claims specialists.
Primary Responsibilities:
- Oversee eligibility verification, benefit interpretation, referral management, and prior authorizations for complex cases.
- Manage MOHS claims processing, including coding review, authorization linkage, and clean claim submission.
- Lead workflow coordination between MOHS surgeons, providers, and RCM teams to reduce denials and improve turnaround times.
Position Requirements:
- Minimum five years of healthcare reimbursement, insurance verification, or related experience.
- Strong knowledge of medical terminology, eligibility, and professional claims workflows.
- Experience with authorizations, MOHS procedures, and ModMed EHR preferred.
Optima Dermatology
Optima Dermatology is on a mission to revolutionize skin care with a world-class, mission-driven team. They are growing rapidly and foster a collaborative, fun, and hardworking environment.