Schedule: Monday–Friday- Days

Position Overview

We are seeking a detail-oriented Medical Billing Specialist to join our experienced billing team. This role is responsible for accurately preparing and submitting claims, resolving billing issues, and ensuring timely reimbursement. The ideal candidate thrives in an independent, self-starter work environment and demonstrates strong accuracy, problem-solving, and accountability.

Key Responsibilities

• Prepare, review, and submit insurance claims accurately and timely
• Verify patient insurance coverage and eligibility
• Perform charge posting and ensure accurate diagnosis documentation
• Follow up on unpaid or denied claims to facilitate resolution
• Respond to inquiries from patients, optometrists, and internal staff
• Review edits and make necessary corrections prior to claim submission
• Maintain compliance with billing regulations, policies, and procedures

Preferred Experience

• Background in optometry or ophthalmology billing strongly preferred
• Experience working with multiple EHR systems; familiarity with Epic is a plus
• Ability to work independently with expectation to be fully autonomous within 6 months and transition to Epic within 12 months

Key Skills & Competencies

• Strong attention to detail and accuracy under deadlines
• Ability to manage workload independently in a remote environment
• Analytical thinking with strong problem-solving skills
• Proficiency with computers and billing software applications
• Strong written and verbal communication skills
• Ability to quickly learn new systems and processes

Requirements

• Requires high school diploma or equivalent.
  
  Requires two years experience in medical insurance billing in a healthcare or insurance organization.
  

  • Requires working knowledge of medical billing practices and clinical policies and procedures.
  • Requires working knowledge of CPT and ICD medical coding.
  • Requires demonstrated ability to operate a ten-key adding machine by touch.
  • Requires ability to operate personal computer and familiarity with various software applications.
  • Requires excellent written and verbal communication skills.
  • Requires attention to detail with accuracy for extended periods of time under strict time constraints.
  • Requires analytical skills to help identify problems and recommend solutions.
  • Requires attending on-going educational programs to ensure current and accurate industry knowledge.
  • Requires highest level of professional behavior in manner, appearance and communication pursuant to department guidelines.
  • Requires ability to maintain confidentiality of any patient or employee medical, financial or personal information; including records and data to which there is access.
  • Responsible to challenge unauthorized individuals from viewing such confidential patient or employee information or accessing restricted areas.

About the Team

You’ll be joining a small, highly experienced billing team that values accuracy, collaboration, and continuous improvement.

Success Profile (Benchmarks)

• Quickly adapts to workflows and system processes
• Demonstrates ability to work independently within first 6 months
• Consistently submits clean claims with minimal errors
• Contributes to reduced denials and improved reimbursement timelines