This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 6 months of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.

Job Type: Full Time

Benefits: Medical, Dental, Vision, Sick Time, Vacation Time, 7 Paid Holidays and more

Job Description

Specialty Billing is responsible for verifying all benefits as they pertain to specialty drug injections.

Essential Functions

• The primary function is to verify all benefits for scheduled injection appointments.
• Evaluates all benefits for patient responsibility and notates accurate collection amounts.
• Monitor all assigned schedules for add-ons and changes.
• Assist in general billing AR when needed including but not limited to claims follow up, calls to insurance and anything necessary to obtain payment for all specialty drugs.
• Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts along with system files, and initiates appropriate corrective methods.
• Act as customer service representative in person or by telephone for any patient's questions about his/her account.
• Maintain up to date billing knowledge of insurance carriers and their clinical policies.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk, communicate verbally in front of groups, 1:1 and over the telephone and in email. The employee will also be required to engage in interactive communication with employees, typically hearing and reading / responding to their emails.

This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, bend and reach open filing cabinets and bend or stand on a stool as necessary. This job requires the ability to sit upright at a desk using a keyboard, computer, mouse and telephone.

Required Education and Experience

• Minimum of 1-2 years' experience in insurance verification or medical billing
• Knowledge of benefit investigation including obtaining eligibility information, authorizations and referrals.
• Experience with CPT, ICD9 and ICD10, Microsoft Office Suite required.