Optometry Clinic Biller

Job Summary:

This individual is responsible for accurately billing patients and insurance carriers

as well as maximizing payment amount and turn-around time.

Education and Experience:

• High school diploma or equivalent.
• Minimum 1 year of healthcare billing experience with strong preference for eye care experience (Optometry or Ophthalmology)
• Working knowledge of insurance timely filling, modifiers, and billing best practices.

Essential Skills and Abilities:

1. Qualitative Indicators:

• Ability to handle patient phone calls compassionately and efficiently.
• Demonstrated ability to work well and get along with co-workers.
• Capacity to demonstrate loyalty to the practice.
• Initiative to complete projects.

1. Quantitative Indicators:

• Evaluation of accounts receivable printout to assess resubmissions.
• Production of weekly patient billing.

  ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Weekly billing (i.e., scrubbing claims, sending via clearinghouse/portal/fax, verifying completion of claims through EHR reporting).
• Resubmission of unpaid or denied claims.
• Monitor and work A/R, send statements, update patient accounts based on insurance remittance guidance.
• Respond to billing phone calls and questions.
• Daily charge entry in accordance with clinic policies.
• Daily payment entry of insurance checks, patient checks/payments for past due balances.
• Assist in ensuring provider information accuracy and assist in credentialing process/credentialing maintenance when needed.
• Analysis of missing/open fee tickets or invoices.

OTHER

• Other duties as assigned.

SENSORY, MOTOR REQUIREMENTS:

• Extensive use of computers.
• Ability to hear and speak clearly.
• Able to sit for extended periods of time.

Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.