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Ophthalmology Medical Billing Specialist
<meta><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><b><strong style="font-size:18pt;white-space:pre-wrap;">Position Summary</strong></b></p><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><span style="color:rgb(56,49,47);background-color:rgb(255,255,255);font-size:12pt;white-space:pre-wrap;">We are seeking a detail-oriented and organized individual to join our team as a Medical Billing Specialist. In this crucial role, you will play a vital part in ensuring timely and accurate claim processing and financial health for our Company. You will be responsible for submitting claims to insurance companies, managing patient accounts, and resolving billing issues. This position requires strong analytical skills, attention to detail, and excellent communication abilities.</span></p><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><br></p><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:18pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><b><strong style="font-size:18pt;white-space:pre-wrap;">Key Responsibilities</strong></b></p><ul data-pattern="discCircleSquare" data-depth="1" style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;margin:8px="" 0px;line-height:1.6;padding:0px="" 0px="" 32px;list-style-type:disc;"=""><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Submit claims electronically to insurance companies</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Review and follow up on denied claims to ensure proper reimbursement. This includes but is not limited to, calling insurance payers, preparing appeals, resubmitting claims, and contacting patients</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Generate and analyze reports on billing activity and identify areas for improvement</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Research and resolve discrepancies in patient information and claims </span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Identifies and reports unpaid/underpaid claim trends</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Post Payments as required to Accounts Receivable</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Apply adjustments to patient accounts as appropriate</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Research and resolve discrepancies in payment postings</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Prepare and submit daily/weekly/monthly reports on payment activity as directed by management</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Communicate effectively with other members of the team</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Maintain a positive and collaborative working environment with other team members</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Provides excellent customer services to patients and clients</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Providers support the client as requested or needed</span></li><li style="font-size:12pt;list-style:none;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><ul data-pattern="discCircleSquare" data-depth="2" style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;margin-left:0px;margin-right:0px;line-height:1.6;padding:0px="" 0px="" 32px;list-style-type:circle;"=""><li style="font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;"><span style="white-space:pre-wrap;">Maintains up-to-date knowledge of industry knowledge/changes</span></li></ul></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Follow established company policies and procedures</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Other Duties as assigned</span></li></ul><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><br></p><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:18pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><b><strong style="font-size:18pt;white-space:pre-wrap;">Qualifications</strong></b></p><ul data-pattern="discCircleSquare" data-depth="1" style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;margin:8px="" 0px;line-height:1.6;padding:0px="" 0px="" 32px;list-style-type:disc;"=""><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">High school diploma or equivalent required</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Minimum of 3-5 years of experience in medical billing field required</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Proficiency in medical coding systems (CPT, ICD-10- CM)</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Excellent understanding of healthcare insurance billing procedures</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Strong analytical and problem-solving skills</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Excellent attention to detail and accuracy</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Proficient in Microsoft Office Suite (Word, Excel)</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Ability to work independently and as part of a team</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Excellent communication and interpersonal skills</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Ability to meet deadlines</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Strong organizational and time management skills</span></li><li style="font-size:12pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Ability to learn new software and procedures quickly</span></li></ul><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;"=""><br></p><p style="font-family:" basel="" grotesk",arial,sans-serif;font-size:18pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px="" 0px;padding:0px;text-align:left;"=""><b><strong style="font-size:18pt;white-space:pre-wrap;">What We Offer:</strong></b></p><ul data-pattern="discCircleSquare" data-depth="1" style="font-family:" basel="" grotesk",arial,sans-serif;font-size:11pt;font-weight:400;margin:8px="" 0px;line-height:1.6;padding:0px="" 0px="" 32px;list-style-type:disc;"=""><li style="font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Competitive base salary</span></li><li style="font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Comprehensive benefits including medical, dental, vision, and 401(k)</span></li><li style="font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Generous paid time off and holiday schedule</span></li><li style="font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;text-align:left;"><span style="white-space:pre-wrap;">Opportunity to grow within a mission-driven and innovative healthcare tech company</span></li></ul>