Billing Specialist

Duties/Responsibilities

• Reviews and processes patient statements for multiple locations.
• Processes refund requests and posts refunds into the system.
• Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and takes appropriate next steps to resolve issues.
• Posts payments, charge backs, adjustments, and remark codes in a timely and accurate manner.
• Researches difficult ERAs/EOBs and open accounts receivables, resolving claims errors and reprocessing claims for successful payment.
• Maintains integrity of patient ledgers, following guidelines to manage balances.
• Sends secondary claims with attached explanations of benefits, submitting claims electronically and by paper as required.
• Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.
• Ensures compliance with all HIPAA/HITECH requirements and applicable federal, state, and local regulations.
• Acts as a liaison and provides excellent customer support to teammates in optometry practices.
• Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand the business.
• Performs other duties as assigned.

Qualifications

• Excellent customer service skills.
• Presents professionally and communicates clearly.
• Embraces and aims for a paperless work environment.
• Demonstrates problem-solving ability and works positively as part of a team.
• Is technology-savvy and appreciates finding new ways to simplify processes.
• Can focus on projects and multitask when needed.
• Brought their best self to work every day and contributes positively to a team environment.
• Desires a long-term growth opportunity.

Additional Desired Experience

• Healthcare payment posting
• Healthcare insurance and patient collections
• Acuity Logic, Compulink, Eyefinity PM, and/or Officemate experience
• Optical billing, Vision Therapy billing, Medicare & Medi-Cal billing experience

Requirements

• Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction.
• Hand dexterity and eye and hand coordination is critical.
• Lifting. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
• Sitting. Must be able to sit for long periods of time.
• Standing. Particularly for sustained periods of time.
• Talking. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately or quickly.
• Travel as needed between practices.
• Visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned or to make general observations of structures.
• Reads a computer screen for long periods of time.
• Walking. Moving about on foot to accomplish tasks, particularly for long distances or moving from one workstation to another.