About

• Description
• Our thriving ophthalmology practice needs an experienced biller who can take over the
• administrative duties involved with coordinating patient and physician schedules as well as file management,
• scanning and office organization. We are looking for a professional who believes that patients should be
• treated as people rather than numbers in a file, and who understands the value of compassionate service.
• The job includes significant amounts of multi-tasking, but the ideal candidate will know when to slow down,
• look patients in the eye and provide personalized service. There are advancement opportunities for the
• successful applicant
• Requirements
• Reviews patient bills for accuracy and completeness; obtains missing information.
• Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines
• Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances.
• Perform coding and billing tasks on a computerized health information technology (HIT) system.
• Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties; maintain an accurate, legally compliant medical record.
• Process claims as they are paid and credit accounts accordingly.
• Review insurance payments for accuracy and compliance with contract discounts.
• Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.
• Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment.
• Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.
• Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues.
• Travel to other clinic sites as needed.
• Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor.
• Prepare reports and forms as directed and in accordance with established policies. • Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization.
• Provide excellent and professional customer service to internal and external customers. • Function as contributing team member while meeting deadlines and productivity standards.
• Other duties as assigned.

Qualifications

• Proficiency with medical billing software, electronic health record (EHR) systems, and Microsoft Office Suite.
• Strong understanding of medical terminology, CPT, ICD-10, and HCPCS coding systems, and insurance reimbursement procedures.
• Exceptional attention to detail and accuracy in data entry and claims processing.
• Excellent analytical and problem-solving skills to effectively resolve billing discrepancies and denials.
• Strong verbal and written communication skills for interacting with patients, insurance companies, and colleagues.
• Ability to handle sensitive patient financial and health information with the utmost discretion and confidentiality.

Education and Experience Requirements

• Education: High school diploma or equivalent is required; an associate's degree in medical billing or a related field is preferred.
• Experience: A minimum of 1–3 years of experience in medical billing or a similar role within a healthcare setting.
• Certifications: Certification in Medical Billing and Coding (e.g., CPC, CCS, or CPB) is a significant advantage.