Senior Denial & Appeals Specialist (Dermatology Billing | Remote) 💰 Starting at $10/hour | Full-Time | 100% Remote We are seeking an experienced and analytically sharp Senior Denial & Appeals Specialist to take ownership of complex claim denials, manage appeals end-to-end, and drive recovery on high-dollar and high-priority accounts across a multi-location dermatology practice. This is a senior-level individual contributor role for a billing professional who understands denial workflows deeply, navigates payer-specific processes with precision, and produces measurable recovery outcomes. If you have proven experience in dermatology or specialty medical billing, strong appeal-writing ability, and a disciplined approach to managing aging A/R — this role is built for you. 🔍 What You Will Own Denial Management - Manage high-volume denial queues across multiple payers, prioritizing by dollar value, filing deadlines, and denial type - Analyze denial trends and identify root causes across locations - Handle medical, surgical, and cosmetic dermatology denials including: - Prior authorization - Medical necessity - Coding and bundling issues - Eligibility rejections - Correct, re-code, and resubmit claims with complete supporting documentation - Escalate systemic billing or coding issues to leadership Appeals Execution - Prepare and submit appeals across all levels (first-level, second-level, external review) - Compile documentation including medical records, clinical notes, and payer policies - Ensure compliance with payer-specific timelines, requirements, and submission channels - Track appeal status and follow up consistently to protect appeal rights - Maintain detailed and organized appeal documentation High-Dollar & Complex A/R - Work complex and high-value A/R accounts using a structured, priority-based approach - Engage payers via phone and portals to resolve disputed claims - Identify underpayments and initiate recovery through dispute processes - Escalate payer issues when required - Maintain accurate and complete account documentation Payer & Coding Expertise - Apply strong knowledge of dermatology CPT, ICD-10, and HCPCS coding - Interpret payer coverage policies including LCD and NCD guidelines - Stay updated on CMS and payer policy changes - Support the billing team with complex denial scenarios Reporting & Collaboration - Track denial outcomes and contribute to trend reporting - Partner with front-end teams to reduce upstream denial drivers - Communicate findings clearly to leadership

Nurse Practitioner (NP) / Physician Assistant (PA) Behavioral Health | 100% Remote | Flexible Schedule Gervino Group is partnering with a growing healthcare organization seeking licensed Nurse Practitioners and Physician Assistants to support a unique, medically driven behavioral health model. This is an opportunity to step into meaningful work that blends clinical care with legal-medical collaboration—all in a flexible, remote environment. Position Highlights • 100% Remote • 1099 Independent Contractor • Part-Time or Full-Time Flexibility • Set your own schedule • Compensation based on CPT codes performed • Collaborative care model alongside behavioral health counselors What You’ll Be Doing • Provide ethical, patient-centered care for individuals involved in legal cases • Conduct assessments, follow-ups, and medication management (non-controlled) • Maintain clear, defensible documentation tied to patient condition and incident impact • Utilize Jane EHR for charting and scheduling • Deliver virtual care with flexibility and autonomy Important Practice Details • Care is medically driven and necessity-based (not volume-based) • Documentation may be used in legal settings, including potential depositions • Strong emphasis on accuracy, clarity, and compliance • No ADHD stimulants or controlled substances prescribed • Must adhere to all state-specific regulations Ideal Candidate Profile Licensed NP or PA in one or more of the following states: - New York (urgent need) - Georgia - Texas (Spanish required) - Massachusetts - Tennessee • Comfortable working at the intersection of healthcare and legal • Strong attention to detail and documentation skills • Open to testifying based on clinical documentation if needed • Background or interest in behavioral health preferred Why This Opportunity Stands Out • Flexible, scalable workload—you control your schedule • Focus on quality care, not patient volume • Meaningful work supporting individuals through challenging life events • Unique niche combining healthcare and legal support • Structured onboarding, credentialing support, and multi-state growth Compensation Compensation is based on services performed (CPT codes), including: • Psychiatric evaluations • Weekly psychotherapy sessions • Psychological testing (as needed) • Medical management visits This is a great fit for someone who wants to use their clinical expertise in a more thoughtful, impactful way—without the chaos of high-volume care.

Nurse Practitioner (NP) / Physician Assistant (PA) Behavioral Health | 100% Remote | Flexible Schedule Gervino Group is partnering with a growing healthcare organization seeking licensed Nurse Practitioners and Physician Assistants to support a unique, medically driven behavioral health model. This is an opportunity to step into meaningful work that blends clinical care with legal-medical collaboration—all in a flexible, remote environment. Position Highlights • 100% Remote • 1099 Independent Contractor • Part-Time or Full-Time Flexibility • Set your own schedule • Compensation based on CPT codes performed • Collaborative care model alongside behavioral health counselors What You’ll Be Doing • Provide ethical, patient-centered care for individuals involved in legal cases • Conduct assessments, follow-ups, and medication management (non-controlled) • Maintain clear, defensible documentation tied to patient condition and incident impact • Utilize Jane EHR for charting and scheduling • Deliver virtual care with flexibility and autonomy Important Practice Details • Care is medically driven and necessity-based (not volume-based) • Documentation may be used in legal settings, including potential depositions • Strong emphasis on accuracy, clarity, and compliance • No ADHD stimulants or controlled substances prescribed • Must adhere to all state-specific regulations Ideal Candidate Profile Licensed NP or PA in one or more of the following states: - New York (urgent need) - Georgia - Texas (Spanish required) - Massachusetts - Tennessee • Comfortable working at the intersection of healthcare and legal • Strong attention to detail and documentation skills • Open to testifying based on clinical documentation if needed • Background or interest in behavioral health preferred Why This Opportunity Stands Out • Flexible, scalable workload—you control your schedule • Focus on quality care, not patient volume • Meaningful work supporting individuals through challenging life events • Unique niche combining healthcare and legal support • Structured onboarding, credentialing support, and multi-state growth Compensation Compensation is based on services performed (CPT codes), including: • Psychiatric evaluations • Weekly psychotherapy sessions • Psychological testing (as needed) • Medical management visits This is a great fit for someone who wants to use their clinical expertise in a more thoughtful, impactful way—without the chaos of high-volume care.

Nurse Practitioner (NP) / Physician Assistant (PA) Behavioral Health | 100% Remote | Flexible Schedule Gervino Group is partnering with a growing healthcare organization seeking licensed Nurse Practitioners and Physician Assistants to support a unique, medically driven behavioral health model. This is an opportunity to step into meaningful work that blends clinical care with legal-medical collaboration—all in a flexible, remote environment. Position Highlights • 100% Remote • 1099 Independent Contractor • Part-Time or Full-Time Flexibility • Set your own schedule • Compensation based on CPT codes performed • Collaborative care model alongside behavioral health counselors What You’ll Be Doing • Provide ethical, patient-centered care for individuals involved in legal cases • Conduct assessments, follow-ups, and medication management (non-controlled) • Maintain clear, defensible documentation tied to patient condition and incident impact • Utilize Jane EHR for charting and scheduling • Deliver virtual care with flexibility and autonomy Important Practice Details • Care is medically driven and necessity-based (not volume-based) • Documentation may be used in legal settings, including potential depositions • Strong emphasis on accuracy, clarity, and compliance • No ADHD stimulants or controlled substances prescribed • Must adhere to all state-specific regulations Ideal Candidate Profile Licensed NP or PA in one or more of the following states: - New York (urgent need) - Georgia - Texas (Spanish required) - Massachusetts - Tennessee • Comfortable working at the intersection of healthcare and legal • Strong attention to detail and documentation skills • Open to testifying based on clinical documentation if needed • Background or interest in behavioral health preferred Why This Opportunity Stands Out • Flexible, scalable workload—you control your schedule • Focus on quality care, not patient volume • Meaningful work supporting individuals through challenging life events • Unique niche combining healthcare and legal support • Structured onboarding, credentialing support, and multi-state growth Compensation Compensation is based on services performed (CPT codes), including: • Psychiatric evaluations • Weekly psychotherapy sessions • Psychological testing (as needed) • Medical management visits This is a great fit for someone who wants to use their clinical expertise in a more thoughtful, impactful way—without the chaos of high-volume care.