What are the responsibilities and job description for the Billing Specialist position at Retina Consultants, LLC?
Retina Consultants, LLC is Hiring a Skilled Billing Specialist
We are seeking a driven and knowledgeable candidate -someone who can advocate for best practices, conduct in-depth research, and investigate current industry-standard billing policies and procedures. The ideal candidate will stay current with evolving billing practices to ensure ongoing accuracy, efficiency, and compliance.
This position is on-site only with no remote work available.
Key Responsibilities:
- Accurately submit claims to insurance companies, Medicare, and Medicaid.
- Review and correct claim denials, rejections, and underpayments.
- Follow up on outstanding claims and ensure timely reimbursement.
- Post payments and adjustments to patient accounts.
- Verify patient insurance eligibility and benefits.
- Communicate with insurance companies, patients, and providers to resolve billing inquiries.
- Maintain compliance with HIPAA, payer policies, and industry regulations.
- Assist with month-end reconciliation and reporting as needed.
Qualifications & Skills:
- Minimum 5 years of medical billing experience (retina/ophthalmology experience a plus).
- Certified Coder/Biller preferred
- Knowledge of ICD-10, CPT, and HCPCS coding.
- Familiarity with EHR/PM systems.
- Strong understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.
- Proficiency in Microsoft Office (Excel, Word, Outlook).
- Excellent communication and problem-solving skills.
- Ability to work independently and as part of a team.
Benefits:
- Competitive salary based on experience.
- Health, dental, and vision insurance.
- 401(k).
- Paid time off and holidays.
- Professional development opportunities.
Location: Retina Consultants, LLC
We look forward to meeting you!
At Retina Consultants, we specialize in the medical and surgical treatment and management of all systemic types of vitreo-retinal diseases. All of our physicians are Board Certified and Fellowship-trained medical and surgical retina specialists. Some of the vitreo-retinal diseases that we specialize in diagnosing and treating are:
Retinal tears and detachments,
Vitreous detachment,
Diabetic retinopathy,
Macular hole, macular pucker,
Age-related macular degeneration.
Salary : $25 - $35