Medical Billing Specialist/ Optical

Job Summary: 

The Medical Biller will be responsible for managing the billing processes of our practice. This includes preparing and submitting insurance claims, verifying patient insurance coverage, resolving billing issues, and ensuring accurate and timely reimbursement for services provided. Additionally, a significant portion of this role involves direct communication with patients, addressing their questions about bills, payments, and insurance coverage. The ideal candidate will be an integral part of our team, ensuring seamless billing operations and exceptional patient customer service.

Requirements: 

Key Responsibilities:

• Review, prepare and submit insurance claims to various insurance companies electronically.
• Verify patient insurance coverage and eligibility.
• Review and follow up on unpaid or denied claims, making necessary corrections to ensure timely payment.
• Post payments and adjustments to patient accounts accurately.
• Handle a high volume of patient phone calls, addressing questions and concerns about bills, payments, and insurance coverage.
• Explain to patients what their insurance will or won't cover.
• Generate patient statements and manage patient billing inquiries.
• Communicate with insurance companies, patients, and providers to resolve billing discrepancies.
• Maintain accurate and organized records of all billing activities.
• Ensure compliance with relevant laws, regulations, and policies related to medical billing and coding.
• Stay updated on changes in insurance policies, billing regulations, and coding standards.
• Assist with the preparation of financial reports related to billing activities.
• Answering phones calls and scheduling patient exams.
• Support front desk staff and prescreen patients as needed.

Qualifications:

• Minimum of 1 years of experience in medical billing, preferably in a private practice setting.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Strong understanding of medical terminology, ICD-10, CPT, and coding.
• Excellent communication and interpersonal skills, with an emphasis on patient interaction.
• High level of accuracy and attention to detail.
• Ability to handle sensitive and confidential information with discretion.
• Strong organizational and time-management skills.
• Ability to work independently and as part of a team.

Job Type: Full-time

Pay: $21.00 - $24.00 per hour