Billing Specialist

Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. They are primarily responsible for handling billing and invoicing procedures, working closely with healthcare providers, insurance companies, and patients to facilitate smooth financial transactions.

Responsibilities

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Contacts Insurance companies regarding unpaid claims via rebill, appeals, or phone.
• Accepts in-coming phone calls for patient inquiries.
• Answers questions from patients, clerical staff and insurance companies via phone, email, and messaging portals.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements as needed.
• Mails appropriate patient contact letters to resolve outstanding claims.
• Evaluates patient’s financial status and establishes budget payment plans.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Utilizes Practice Management software and completes assigned AR and Patient tasking.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other duties as assigned.

Benefits

• Medical Insurance Plans
• Vision Insurance Plan
• Dental Insurance Plan
• 401K Contribution
• Life Insurance
• Sick, Vacation, and Holiday Pay
• Certification Opportunities

About the Candidate

• High school diploma or equivalent
• College degree and willing to train as a Billing Specialist
• Excellent verbal and written communication skills.
• Ability to multitask.
• Ability to work independently and as a team.
• Proactive in their work.
• Ability to learn NextGen, MDI EMR, and basic ICD-10 codes

Who We Are

California Retina Consultants (CRC) is part of Retina Consultants of America (RCA), the largest network of leading retina specialists with the mission of saving sight and improving patient lives through innovation and the highest quality care. Through RCA's physician-centered practice management model, physicians continue to drive clinical and practice culture while benefiting from the available business expertise, resources and shared best practices.

Equal Opportunity Employer

California Retina Consultants is proud to be an Equal Employment Opportunity and an Affirmative Action Employer. We are committed to creating an inclusive work environment that celebrates diversity.

All offers are contingent upon satisfactory background check and pre-employment drug screen.