Job Overview
We are seeking a dedicated and detail-oriented Ophthalmology Billing Specialist to join our healthcare team. In this vital role, you will manage the complete billing process for ophthalmology services, ensuring accurate coding, timely claims submission, and effective follow-up on unpaid claims. Your expertise will help optimize revenue cycle management while providing exceptional support to patients and healthcare providers. This position offers an exciting opportunity to contribute to a dynamic ophthalmology practice committed to delivering outstanding patient care and financial excellence.
Responsibilities
- Review medical records and documentation to ensure accurate coding using CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications for ophthalmology procedures and diagnoses.
- Assign appropriate ICD coding and CPT codes for procedures, treatments, and diagnoses in compliance with healthcare regulations.
- Submit clean claims electronically through billing software and EMR/EHR (Electronic Medical Records/Electronic Health Records) systems, ensuring adherence to insurance requirements.
- Follow up on unpaid or denied claims by investigating issues related to healthcare claims management, resubmitting corrected claims as necessary.
- Maintain detailed records of billing activities, medical collections, and correspondence related to insurance companies and patients.
- Communicate effectively with patients regarding billing inquiries, payment plans, or insurance coverage details with a focus on customer service excellence.
- Stay updated on healthcare regulations, insurance policies, and coding changes affecting ophthalmology billing practices.
Qualifications
- Proven experience in medical billing within a healthcare setting, preferably in ophthalmology or specialized medical fields.
- Strong knowledge of medical terminology, medical records management, and medical coding including ICD-9, ICD-10, CPT coding, and DRG classifications.
- Familiarity with billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes.
- Understanding of health insurance processes, healthcare claims management, and medical collections procedures.
- Excellent attention to detail with the ability to analyze complex medical documentation accurately.
- Effective communication skills for interacting with patients, providers, insurance companies, and team members.
- Knowledge of medical office procedures and experience working with healthcare claims is highly desirable.
Join us as an Ophthalmology Billing Specialist and play a crucial role in ensuring our practice’s financial health while supporting our commitment to exceptional patient care!
Pay: $18.00 - $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Paid time off
Work Location: In person
