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Medical Biller - Ophthalmology
10 Applications Submitted for this Position

Job Description

This is your next career!

Family oriented and close knit staff!  Established healthcare practice since 1947! Exceptional patient experience provided by exceptional employees! Contact MediQuest Staffing about this amazing position! 

Job title:         Medical Biller - Ophthalmology

Location:        Los Angeles, CA

Schedule:        8:30am to 5:00pm 

For immediate consideration, please submit your resume to [Click Here to Email Your Resumé] or call 1-833-633-7878, and ask for Gena at MediQuest Staffing.   

Candidate will be responsible for implementing and enforcing policies and procedures, as well as streamlining effective billing processes and assisting in the entire billing department at Premiere Practice Management.

DUTIES

  • Daily review of suspended/RTP claims through DDE access
  • Review daily remittance advice for denials
  • Notify billing manager of any HMO or eligibility issues
  • Meet with billing manager on all issues and billing obstacles
  • Make corrections as necessary to ensure timely payment and completeness of all claims with a goal of zero errors
  • Communicate with all insurance companies, patients and providers
  • Sends insurance claims no later than five days’ post printing date and posts batches Meets deadlines
  • Verifies and compares procedure codes (CPT codes), diagnosis, and insurance card information to the patient's exam
  • Utilizes problem-solving skills to research and resolve discrepancies, denials, appeals, and insurance mail-backs
  • Verify and confirm proper coverage through eligibility and benefit verification
  • Implements and enforces all company rules, procedures and policies
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
  • Utilize EHR software to document communications on collection activity, with insurance companies and patients
  • Ensure RAPs are reprocessed within 24 hours of cancellation
  • Research and analyze patient account activity to maintain accuracy of patient account balances
  • Resolve credit balance accounts on a monthly basis and recommend account adjustments as appropriate
  • Regularly attend monthly staff meetings and continuing educational sessions as requested
  • Confirm the accuracy of accounts being transferred to bad debt and/or collections
  • Receive, review and log all incoming batches
  • Monitors staff for compliance with HIPAA regulations and maintaining strictest confidentiality
  • Provide excellent customer service when interacting with patients regarding medical claims and payments, including communicating with patients and family members
  • Work with other department managers when needed 
REQUIREMENTS
  • Minimum 2 years’ experience with Medicare insurance billing and AR related duties – REQUIRED
  • Ophthalmology and ASC – Accounts Receivable experience – Preferred but not required
  • Strong Medical AR experience – REQUIRED
  • High school diploma. College degree preferred
  • Solid EHR experience with Compulink , Vision, Eye Medicware, and Office Ally
  • Medicare DDE computer billing system experience needed
  • Experience with practice management software experience
  • Ability to effectively interact with doctors, patients, attorneys and other staff members.
  • Have excellent computer skills MS Office software’s and Internet savvy
  • Strong verbal and written communication skills
  • Skilled in 10-key
  • Demonstrate knowledge of proper, safe, efficient usage of current office equipment
  • Superior command of English language in writing and communication
  • Professional in appearance, organized, and prompt
  • Must be punctual, efficient, and detail oriented
  • Respectful of all privacy requirements for HIPAA and also all personnel information






Job Requirements

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Job Snapshot

Employment Type Contract to Hire
Job Type Health Care
Education Not Specified
Experience Not Specified
Manages Others Not Specified
Industry Other Great Industries
Required Travel Not Specified
Job ID 123694
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Medical Biller - Ophthalmology


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