We are seeking a Billing Specialist to join our team at Retina Consultants! You will be working with insurance companies to ensure all claims are processed in a timely manner and join the Billing Operations team with a focus on teamwork and customer service. Excellent benefits provided - details below!

Duties

• Responsible to ensure all claims are processed according to compliance/ coding laws and regulations, charges are applied, reviewed, and posted timely.
• Ensure that claims are reimbursed according to allowable/contractual amounts based on assigned payors and review and appeal underpaid claims as needed using forms/system processes required by payors.
• Research/investigate overpayment/underpayment accounts and process refunds to insurance or patients accordingly.
• Review and monitor payor websites and newsletters to stay current on changes/rules for assigned payor groups.
• Assist with obtaining benefit information and authorizations/ referrals when required.
• Support the front office staff when needed and answer incoming calls regarding patient billing questions.

Skills

• Commitment to high level of customer/patient service
• Familiarity with ICD-10 codes and procedures
• Working knowledge of medical jargon and anatomy preferred
• Requires ability to work as a team member
• Excellent typing and 10-key speed and accuracy
• Understand basic accounting debit/credit rules
• Requires skills in operating computers, word processing software, fax machines, copier machines.
• Ability to work in a fast paced environment and be proficient at multi-tasking

Minimum Qualifications

• Prefer 1-2 year minimum of front desk receptionist or office administration experience
• Experience working in a medical office and/or experience in Billing a plus
• Demonstrates regard for the dignity and respect of all patients, family members, and coworkers.
• Displays consistent professionalism.
• Interacts with fellow employees in a way that promotes harmony and cooperation.
• Follows HIPPA Policies and Procedures outlined in Privacy Manual.

Benefit Details:

• Benefits to include: Paid Time Off, Medical, Dental and Vision insurance (premiums paid by employer!), 401k and profit sharing plan

JOB CODE: 20250108_SF