Job Summary
We are seeking a detail-oriented and energetic Optometric Medical Biller to join our healthcare team. In this vital role, you will be responsible for accurately processing and submitting medical claims related to optometric services, ensuring timely reimbursement from insurance companies. Your expertise will help streamline billing workflows, improve revenue cycle management, and support our commitment to providing exceptional eye care. The ideal candidate is passionate about medical coding, possesses excellent organizational skills, and thrives in a fast-paced environment dedicated to patient satisfaction and operational excellence.
Responsibilities
- Review patient records, including medical documentation and treatment notes, to ensure accurate coding for optometric procedures and services.
- Assign appropriate CPT (Current Procedural Terminology) codes, DRG (Diagnosis-Related Group) codes, ICD-9 and ICD-10 diagnosis codes, and other relevant medical codes for billing purposes.
- Submit clean claims electronically using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to insurance providers promptly.
- Follow up on unpaid or denied claims by investigating discrepancies, appealing denials, and ensuring proper documentation is provided.
- Maintain detailed medical records, billing logs, and collection notes to support audit readiness and compliance with healthcare regulations.
- Collaborate with the clinical team to verify patient eligibility, insurance coverage, and pre-authorizations prior to billing.
- Stay updated on changes in medical coding standards, insurance policies, and healthcare regulations affecting optometric billing practices.
Skills
- Proficiency in medical coding including CPT coding, ICD-9/ICD-10 diagnosis coding, and DRG classification.
- Strong understanding of medical terminology related to optometry and eye care procedures.
- Experience with medical billing processes, including claim submission, follow-up, collections, and appeals.
- Familiarity with EMR/EHR systems used in optometry clinics for accurate record keeping and billing.
- Knowledge of insurance protocols, patient eligibility verification, and pre-authorizations.
- Ability to interpret medical records accurately and ensure compliance with healthcare standards.
- Excellent organizational skills with attention to detail to minimize errors in billing documentation. Join us as an Optometric Medical Biller to play a crucial role in supporting our mission of delivering outstanding eye care while ensuring efficient revenue cycle management! Your expertise will empower our team to focus on what matters most—our patients’ vision health—while maintaining smooth financial operations.
Pay: $25.00 - $30.00 per hour
Work Location: Hybrid remote in Lithonia, GA 30038
