Skew-gentle algebras are a generalisation of the well-known class of gentle algebras with which they share many common properties. In this work, using non-commutative Gröbner basis theory, we show that these algebras are strong Koszul and that the Koszul dual is again skew-gentle. We give a geometric model of their bounded derived categories in terms of polygonal dissections of surfaces with orbifold points, establishing a correspondence between curves in the orbifold and indecomposable objects. Moreover, we show that the orbifold dissections encode homological properties of skew-gentle algebras such as their singularity categories, their Gorenstein dimensions and derived invariants such as the determinant of their q-Cartan matrices.