Optima Dermatology

Director of Medical Community Partnerships Location: Remote; home office with significant field time. Must reside in the greater Indianapolis area. Position Summary The Director of Medical Community Partnerships is a high-impact, individual contributor responsible for driving new patient acquisition through strategic referral relationships. This role focuses on identifying, developing, and sustaining partnerships with referring providers by delivering a differentiated, best-in-class experience. Reporting to the VP of Marketing, this position collaborates closely with regional directors, practice managers, front desk teams, and providers across our dermatology practices. Key Responsibilities - Drive patient volume by building and maintaining strong relationships with referring providers across our markets. - Lead B2B outreach efforts in the Indianapolis and Cincinnati regions by identifying referral opportunities, key decision-makers, and strategic healthcare networks. - Conduct in-person visits with current and prospective referral sources (PCPs and specialty practices) to educate them on Optima’s providers, services, and value proposition. - Plan and execute provider engagement opportunities such as meet-and-greets, lunches, dinners, and educational events. - Establish relationships with referral coordinators, front desk staff, practice managers, and providers to ensure seamless referral workflows. - Partner with internal providers and practice leaders to align outreach strategies and maximize referral growth. - Support community-based marketing initiatives and represent Optima at relevant local events. - Capture and document referral source feedback in the CRM and collaborate with regional and local leaders to resolve issues and improve service delivery. - Analyze referral data to identify trends, prioritize outreach efforts, and drive continuous improvement in referral performance. Reporting & Analytics - Log all field activity, visit summaries, and referral interactions in the CRM. - Prepare and present weekly activity dashboards and performance updates. - Support monthly and quarterly reporting to leadership. Qualifications & Requirements - Bachelor’s degree or equivalent relevant experience required. - Prior healthcare experience preferred. - Excellent interpersonal, communication, and relationship-building skills. - Strong organizational skills with the ability to manage multiple priorities. - Detail-oriented with a high level of accuracy and follow-through. - Highly responsive and professional in email and external communications. - Experience using CRM platforms preferred, with a commitment to maintaining accurate records. - Ability and willingness to travel locally to meet role requirements.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Optima Dermatology is seeking a detail-oriented Temporary Remote Revenue Cycle Data Entry Specialist to support the organization-wide rollout of Clearwave across all clinic locations. This role will focus primarily on updating and validating patient insurance information to ensure accuracy and readiness within Clearwave and related systems. This is a fully remote position and plays a critical support role in maintaining clean data, minimizing downstream billing issues, and ensuring a smooth enterprise-wide transition to Clearwave. Key Responsibilities - Accurately update and verify patient insurance information in Clearwave and associated systems - Perform high-volume data entry remotely with a strong emphasis on accuracy and consistency - Review existing insurance records and update information based on defined workflows and guidance - Validate insurance fields to ensure completeness, including payer, plan details, and subscriber information - Identify, document, and escalate discrepancies or missing information as needed - Adhere to established RCM processes, data standards, and Clearwave rollout timelines - Communicate effectively with RCM leadership and team members in a remote work environment - Maintain strict confidentiality and comply with HIPAA and internal data security requirements Qualifications - Strong data entry skills with high attention to detail and accuracy - Ability to work independently in a fully remote setting while meeting productivity expectations - Basic understanding of health insurance concepts, including commercial, Medicare, and Medicaid preferred - Comfort navigating multiple systems and learning new platforms quickly - Proficient with standard computer applications and web-based systems - Reliable, organized, and able to follow written instructions and standardized workflows Requirements - Prior experience in healthcare administration, medical billing, or revenue cycle operations preferred - Experience updating or maintaining insurance and patient demographic data - Familiarity with practice management systems or patient intake platforms, Clearwave experience a plus but not required Key Competencies - Attention to detail and data accuracy - Time management and self-direction in a remote environment - Ability to meet volume and turnaround expectations - Professional written and verbal communication - Process adherence and consistency Work Environment - Fully remote position - Temporary assignment aligned with the Clearwave rollout timeline - Standard business hours, with flexibility based on operational needs

Multi-site Dermatology Group Seeks Accounts Receivable Specialist Optima Dermatology is recruiting a full time RCM Accounts Receivable Specialist to join our Practice Support Center, based in Portsmouth, NH. Remote opportunities available for residents of ME, NH, IN, OH, FL, NC. Position Summary: The Accounts Receivable Specialist is responsible for resolving aging claims, working denials, overseeing secondary claims, and collaborating closely with other revenue cycle teams to ensure timely and accurate resolution of accounts. This position also involves patient account management, requiring strong communication, critical thinking, and critical thinking skills. Responsibilities: Claims Management (Accounts Receivable): - Review and resolve rejected claims, ensuring accuracy and meeting deadlines. - Research and validate posted payments and adjustments, correcting discrepancies as needed. - Post EOBs, payments, and adjustments as required to resolve outstanding claims. - Process correspondence to resolve open A/R balances for assigned providers, payers, and claims. - Analyze denials and underpayments to determine if appeals or other resolutions are necessary. - Identify and communicate denial and payment trends to improve billing procedures. - Collaborate with payers, EDI, and payment posting teams to address systemic issues and streamline processes. - Resubmit claims to secondary/tertiary payers as needed. - Maintain accurate logs of payer interactions and unresolved balances. - Utilize provider portals and payer resources to research and resolve claim processing issues. - Manage incoming calls from insurance companies regarding claims and requests for additional documentation to process submitted claims. - Understands and interprets insurance Explanations of Benefits (EOBs). Patient Accounts Management: - Provide excellent customer service, assisting patients with billing inquiries, account balances, and financial responsibilities. - Manage incoming patient calls efficiently, resolving concerns, and escalating issues as needed. - Assist clinical and operational staff with patient demographics, scheduling, and referrals. - Educate patients on cost and payment options for services. - Analyze and resolve patient account billing issues through communication with patients, insurance providers, and healthcare systems. - Demonstrate effective call handling, including deescalating patients, by managing incoming patient calls via the phone queue with the ability to answer, resolve patient concerns and escalate billing questions, concerns, or complaints to appropriate parties. - Verifies insurance eligibility and benefits as needed using automated eligibility systems, payer websites, and/or calls the insurance carriers. General and Administrative: - Keep management informed about backlogs, time availability, and unresolved concerns. - Maintain set standards, metrics, all KPIs and ensure individual and departmental goals are met - Accurately document patient accounts and all actions taken. - Respond promptly to emails, voicemails, and assigned tasks. - Maintain a thorough understanding of the practice management system and electronic medical records (EMR). - Function as a resource to answer questions promptly and accurately including, but not limited to, questions from other team members, management, and payors. - Work as a collaborative team member within a distributed organization. - Participate in revenue cycle projects and contribute to departmental goals for same. - Works assigned intradepartmental and interdepartmental inquiries within a timely manner - Follow all HIPPA guidelines and comply with annual training and understand and operate within defined scope as outlined by the company. - Demonstrate our values in interactions, empathy, and sensitivity towards patient/family rights. - Other duties assigned by the Supervisor, Manager, or Director. Qualifications: - Experience: Minimum of 3 years in healthcare reimbursement preferred. - Knowledge: - CPT and ICD-10 coding. - Payer billing guidelines, submission, and remittance processes. - HCFA 1500 forms and Explanation of Benefits (EOBs). - Skills: - Strong problem-solving, prioritization, and follow-through abilities. - Excellent interpersonal and communication skills, with a proven record of professional etiquette. - Ability to work independently in a demanding environment. - Education: High school diploma or equivalent (knowledge of business administration and/or accounting preferred). Degree/certification or structured secondary education strongly preferred. Key Competencies: - Strong initiative, judgment, and decision-making skills. - Ability to build rapport with patients and colleagues while maintaining empathy and sensitivity. - Collaborative collaborator within a distributed organization. - Adherence to company values, professionalism, and HIPAA compliance. Compensation The position will offer competitive compensation. In addition, it will offer the personal reward associated with transforming our patients’ lives and building the most defensible healthcare services platform in the country. Benefits Our benefits include generous health, dental, vision, disability, and life insurance. About Optima Dermatology At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to set the new standard in dermatology. We are growing rapidly and looking for key team members who believe in our mission and want to make a difference in the lives of our patients. We foster a collaborative environment that is fun and hardworking and promise you will work alongside amazing colleagues you are proud to call your teammates.