Medical Biller

This is a fully remote position, open to applicants in Colorado, +12 more states.

📋 Description

• Prepare and submit insurance claims related to ophthalmology, optometry, retina, and ASC services.

• Utilize CPT, ICD-10, and HCPCS codes to ensure claims are submitted accurately and in compliance.

• Review and resolve any discrepancies in coding and claims denials.

• Monitor, assess, and follow up on claims that are unpaid or denied.

• Collaborate with insurance carriers to address payment delays, appeals, and denials.

• Accurately and promptly post payments and adjustments.

• Communicate with patients regarding billing concerns, account discrepancies, and outstanding balances.

• Work together with clinical and administrative teams to enhance billing workflows.

• Stay informed about coding guidelines, payer policies, and industry best practices.

⛳️ Requirements

• Proficiency in CPT, ICD-10, and HCPCS coding.

• Strong problem-solving abilities for resolving claims and optimizing reimbursement.

• Effective verbal and written communication skills for interactions with insurance and patients.

• Capability to manage multiple accounts and meet deadlines in a dynamic environment.

• Experience with EHR and practice management systems such as NextGen.

• A minimum of 2-3 years of experience in medical billing within ophthalmology, optometry, retina, and ASC environments.

• Certification as a Professional Biller (CPB), Professional Coder (CPC), or a similar credential is preferred.

• Experience in interpreting EOBs and navigating payer-specific billing guidelines.

• Strong understanding of billing practices for Medicare, Medicaid, and commercial insurance.

• Candidates must live in one of the approved states: Colorado, Florida, Kansas, Massachusetts, Michigan, Missouri, New Mexico, Oregon, Pennsylvania, South Carolina, Virginia, Wyoming, or North Carolina.

🏝️ Benefits

• PTO Accruals Start at 3 Weeks.

• Comprehensive Medical and Dental Insurance.

• Company Paid Optical Allowance.

• Company Paid Routine Eye Care.

• Short Term and Long-Term Disability Insurances.

• Educational Allowance.

• Generous Paid Holiday Program.

• 401K With Company Match.

• Career growth plans and professional development opportunities.