What are the responsibilities and job description for the Ophthalmology Medical Biller position at Visionary Ophthalmology?
Job Description
Job Description
Job Summary : A medical billing associate , a medical biller, or an insurance billing specialist manages the financial relationship between a healthcare provider and their patients. They ensure accurate claims submission and secure timely payments and reimbursement for eye care services, including routine exams, surgical procedures, and specialized treatments. The role requires a strong understanding of ophthalmic coding, medical insurance guidelines, and compliance with healthcare regulations.
Key Responsibilities :
- Billing : Creating invoices for patients and submitting claims to insurance companies
- Prior Authorization and Eligibility and Verification : Completes the prior authorization investigation and verifies patient eligibility for services invoices.
- Managing payments : Collecting patient payments and updating patient information in the provider's system.
- Investigating claims : Following up on unpaid claims and denied insurance claims.
- Communicating with patients and insurance companies : Handling patient inquiries, explaining bills, and communicating with insurance companies to track payments and confirm coverage.
- Maintaining records : Entering payment information into a database and navigating electronic health records (EHR) and billing software.
- Staying up to date : Keeping current with healthcare regulations, medical terminology, and coding practices.
- Reporting : Tracking, reviewing, and reporting on billing metrics, trends, and periodic audits.
Required Skills & Qualifications :
Benefits :
