Medical Biller - Remote

Overview

The Medical Biller is responsible for accurately preparing and submitting insurance claims, managing account balances, and ensuring timely reimbursement for services. This role requires expertise in ophthalmology, optometry, retina, and ambulatory surgery center (ASC) billing.

In Short

• Prepare and submit claims to insurance companies for ophthalmology, optometry, retina, and ASC services.
• Utilize CPT, ICD-10, and HCPCS codes to ensure accurate and compliant claims submission.
• Review and resolve coding discrepancies or claim denials efficiently.
• Track, review, and follow up on unpaid or denied claims.
• Work with insurance carriers to resolve payment delays, appeals, and denials.
• Ensure timely and accurate posting of payments and adjustments.
• Communicate with patients to explain billing issues, resolve account discrepancies, and collect outstanding balances.
• Collaborate with clinical and administrative teams to streamline billing workflows.
• Stay updated on changes in coding guidelines, payer policies, and industry best practices.

Requirements

• Proficiency in CPT, ICD-10, and HCPCS coding.
• Strong problem-solving skills for claims resolution and reimbursement optimization.
• Effective verbal and written communication skills for insurance and patient interactions.
• Ability to manage multiple accounts and deadlines in a fast-paced environment.
• Experience using EHR and practice management systems, such as NextGen.
• Minimum of 2-3 years of experience in medical billing within ophthalmology, optometry, retina, and ASC settings.
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent certification preferred.
• Strong knowledge of Medicare, Medicaid, and commercial insurance billing practices.

Benefits

• PTO Accruals Start at 3 Weeks
• Comprehensive Medical and Dental Insurance
• Company-Paid Optical Allowance
• Company-Paid Routine Eye Care
• Short-Term and Long-Term Disability Insurances
• Educational Allowance
• Paid Holiday Program
• 401K with Company Match