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RCM Benefits & MOHS Claims Lead

Optima Dermatology
Location
Portsmouth, NH (Corporate)
Posted
23 days ago
Department
RCM
What they actually want (must-haves)
  • High school diploma or equivalent
  • Minimum of five (5) years of healthcare reimbursement, patient access, insurance verification, or related experience
  • Strong working knowledge of medical and insurance terminology, eligibility and benefit interpretation, and professional claims workflows
  • Outstanding communication skills
  • Demonstrated problem-solving skills, attention to detail, and ability to prioritize in a fast-paced environment
  • Ability to work independently and collaboratively across a distributed organization
Nice to have
  • Coursework in business administration or accounting
  • Experience with authorizations, including MOHS procedures and/or surgical claims
  • Experience with ModMed or a comparable dermatology EHR and practice-management system
  • Experience providing guidance or workflow leadership to operational staff
What the job really is

The RCM Benefits & MOHS Claims Lead at Optima Dermatology is responsible for ensuring accurate insurance workflows, timely prior authorizations, and clean claims submissions for dermatology and MOHS providers. This role involves providing guidance and support to specialists in insurance verification, authorization management, and claims processing, while also acting as a liaison between various teams to enhance workflow coordination and communication.

Things to weigh
  • Remote or hybrid work setting requires residency in specific states (NH, MA, NC, ME, IN, OH, FL)
  • No salary information provided
  • Role does not carry formal supervisory authority, which may limit leadership experience
Job score2.8/5
Benefits1/5
Freshness4/5
Career value4/5
Role clarity5/5
Pay transparency0/5

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