Job Description

Job Description

Job Description

Title: Billing Specialist

Department: Finance, Revenue Cycle Management

Reports to: Revenue Cycle Management Lead

FLSA: Non-Exempt (Hourly)

Job Type: Full-time, 40 hours per week. On-site.

About Us:

At Retina Specialty Institute and Southern Eye Group we are dedicated to preserving and improving the gift of sight. As growing leaders in the field of ophthalmology, we utilize cutting-edge technology and the latest advancements in healthcare to provide exceptional care to our patients. Our commitment to excellence drives us to prioritize patient care above all else, ensuring that each patient receives the highest standard of treatment. We believe that by saving sight, we are not only preserving vision but also enhancing lives. Join our team and be a part of our mission to make a difference in the lives of our patients every day.

General Purpose of Job/Summary:

We are seeking an experienced and organized Billing Specialist. The Billing Specialist helps maintain our practices' financial health by overseeing the billing process. They will be responsible for managing patient billing and collection procedures: auditing reports, sending claims, and reviewing superbills. The billing specialist will also resolve billing issues by communicating with patients and insurance companies. Candidates who are passionate about healthcare administration with excellent organizational and communication skills are encouraged to apply.

Essential Duties and Responsibilities:

• Ensures billing and collection procedures for all patients are completed with accuracy.
• Form payment plans for patients whenever appropriate and agreeable.
• Responsible for preparing and submitting all surgery and clinic claims.
• Audit the “Accounts Aging Analysis Report” to determine patient accounts requiring immediate attention.
• Resolve billing inquiries and complaints received from patients, insurance companies, and staff in a compassionate and timely manner.
• Collaborate weekly with Supervisor of the Accounts Receivable Department to discuss problem accounts and plans for the upcoming week.
• Review and verify the accuracy of superbills, ensuring all necessary charges are included and following up on any missing or incomplete tickets.
• Process daily charge entries and collaborate with clinical staff.
• Manage and track billing appeals as needed.

Qualifications:

• High school diploma or equivalent.
• Understands the life cycle of a claim and medical billing procedures.
• Experience with electronic medical records (EMR) and electronic scheduling system.
• Preferred: Associate’s degree or higher; billing and collections experience in a medical office; working knowledge of healthcare insurance; certifications related to medical billing or coding.

Required Skills & Abilities:

• Maintains a composed demeanor, pleasant attitude, and polished, professional appearance.
• Demonstrated proficiency with technology; familiarity with relevant software applications, electronic medical records (EMR) systems, and electronic scheduling systems.
• Will observe all company confidentiality requirements and HIPAA regulations to protect patient privacy and maintain HIPAA compliance.
• Ability to work independently and in a team.
• Outstanding written and oral communication skills; handles company business with the utmost professionalism, discretion, and tact.
• Adept at managing multiple urgent tasks simultaneously in high-pressure situations without compromising accuracy.
• Strong organizational and follow-up skills.
• Dependable, punctual, and reliable with an excellent attendance record.

Offered Benefits:

• Competitive salary commensurate with experience.
• Health, dental, and vision insurance.
• Life insurance, disability coverage, and ancillary benefits offered.
• 401k eligibility with company match.
• Paid time off and holidays.
• Opportunities for professional development and certification.
• Friendly, upbeat, and supportive work environment.

Equal Opportunity Employer:

Retina Specialty Institute and Southern Eye Group are equal opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. It is the policy of our companies not to discriminate on the basis of age, color, sex, disability, national origin, race, religion, gender identity, sexual orientation, veteran status or any other characteristic protected by law.

Physical Requirements and Work Environment:

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions to the extent the Company may do so without undue burden.

This role involves sitting for extended periods at a desk and working on a computer. Occasional standing, walking, stooping, kneeling, crouching, reaching, and lifting up to 15 pounds may be required. Specific vision abilities needed include close, distance, peripheral vision, and focus adjustment.

The work takes place in a climate-controlled office with moderate noise levels.

Other Duties:

This job description provides an overview of key duties but is not all-inclusive. Responsibilities and tasks may evolve over time, and adjustments may be made as needed, with or without prior notice.

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