Eyecare Billing Specialist

Ultimate Staffing is partnering with an eyecare and surgery center in Long Beach. They are looking to hire a temporary Billing Specialist. This position is paying between $24-$27 an hour based on experience.

Responsible for supporting the full lifecycle of the revenue cycle, ensuring accurate, timely, and compliant financial processes from patient access through final payment resolution. Including and not limited to Eligibility, Authorization, Billing, Collection, and Payment Poster. This role contributes to optimizing cash flow, minimizing denials, and maintaining regulatory compliance across all revenue cycle functions.

Job Duties and Responsibilities:

• Multi-functional revenue cycle expertise (front-end to back-end)
• Impact on cash flow and denial reduction
• Required experience with payer systems, EMR/EHR platforms, and regulatory compliance
• Communication and coordination across patients, providers, and payers
• Eligibility & Benefits Verification: Verify patient insurance coverage, benefits, and eligibility prior to services to ensure accurate billing and reduce claim denials.
• Authorization Management: Obtain and validate prior authorizations and referrals in accordance with payer requirements to support timely service delivery and reimbursement.
• Charge Capture & Billing: Ensure accurate charge entry and submission of claims in compliance with coding, payer, and regulatory guidelines.
• Payment Posting: Accurately post payments, adjustments, and remittances from insurance carriers and patients; reconcile accounts as needed.
• Accounts Receivable & Collections: Monitor and follow up on outstanding balances, work aging reports, and coordinate with patients, payers, and third-party agencies to resolve accounts.
• Denial Management & Appeals: Investigate denied or underpaid claims, identify root causes, and submit timely corrections or appeals to maximize reimbursement.
• Patient Account Support: Address patient billing inquiries, resolve discrepancies, and provide clear communication regarding financial responsibilities.
• Compliance & Documentation: Maintain adherence to HIPAA, payer regulations, and organizational policies; ensure accurate and complete documentation within the EMR/EHR systems.
• Reporting & Process: Utilize reports and data to identify trends, improve workflows, and support revenue cycle performance initiatives.

• Provides coverage for front desk personnel, as needed
• Performs various administrative duties such as answering phones, directing calls or messages, accurately entering data into the patient medical records, and transporting files/materials between offices
• Works overtime as necessary
• Follows applicable policies and procedures and takes precautions to establish a safe work environment
• Maintains strict patient protocols in accordance with practice policies/ HIPAA requirements
• Maintains a high level of professionalism with patients and works to establish a positive rapport
• Performs other duties as assigned

Requirements:

• Education: High School Diploma required; Associate or Bachelor's degree preferred
• Experience: 2-4 years of related medical office and/or related medical insurance/authorization, medical billing experience required
• Knowledge of insurance carriers and vision plans such as HMO/IPA, PPO, Medicare, Medi-Medi, and VSP required
• Intermediate Computer Skills and Microsoft Office required
• Strong attention to detail
• Professional & courteous communication to both staff, doctors, and patients required.
• Language: Ability to read, write, and communicate in English; Bilingual in Spanish, a plus
• Work is performed in an office setting at a desk and computer. Must be able to sit for up to 8 hours, frequently reach with hands and arms, and repeat the same movements.

Desired Skills and Experience

Medical Billing

VSP Billing

Medical Collections

Accounts Receivable

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.