Do you like to work in a fast paced environment? Do you have solid working knowledge of insurance plans and benefit structures? Are you a team player with a positive attitude? If so read below for more information about this exciting opportunity!

ABOUT US

We are a premier Pediatric Ophthalmology clinic providing services from preterm babies in the NICU to Adults with double vision and all pediatric medical eye issue in between. A working knowledge of the struggles of both a Specialty Clinic as well as Surgical intervention is a MUST.

RESPONSIBILITIES:

- Contact payers to verify patient eligibility and product specific coverage information. Provide prior authorization assistance as well as claims assistance, including billing and coding instructions, to physicians and/or office staff.

- Must have a solid working knowledge of HMO, PPO, Medicare and Medicaid insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits.

- Provides prompt, professional service following specific insurance/Health plan guidelines on all procedures that require prior approval.

- Assists internal staff with obtaining Referrals/Prior Authorizations as well as Billing Liaison with claims assistance.

- Provide support and back up coverage to Billing Manager and Surgery Coordinator as well as front desk as needed

- Posting charges using best business practices into Practice Management Software and Processing claims.

- Take billing calls from patient wishing to pay their bill, set up payment plans or that have questions in regards to their bill.

SKILLS AND APTITUDES

- ICD-10 and CPT coding knowledge

- Prior Authorization / Referral Submission and follow up for Surgery, Diagnostics and Medications

- Customer-service minded

- Process oriented

- Follow-through and perseverance

- Excellent communication skills

-Working knowledge of EMR

COMPENSATION PACKAGE

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Customer service: 2 years (Preferred)
• Medical terminology: 2 years (Preferred)
• Computer skills: 1 year (Preferred)

Work Location: In person