Medical Billing Specialist Lead

Medical Billing Specialist

Griffith Eye Center has an immediate opening for an experienced Medical Billing Specialist to join our busy ophthalmology/optometry practice in Erie. The ideal candidate is a knowledgable, detailed-oriented billing professional who thrives in a fast-paced environment and enjoys sharing their expertise with others. Candidate has proven medical billing experience and a strong understanding of ophthalmology/optometry billing, surgical billing and vision plans. We offer competitive pay and benefits, an exceptional, patient-focused team work environment and a small practice setting. Position is full-time. Salary commensurate with experience.

Required skills & abilities

• Several years of experience in medical billing
• Strong knowledge of medical terminology, ICD-10 diagnosis codes and CPT-4 procedure codes
• Deep understanding of insurance eligibility and authorizations, benefits and reimbursement processes
• Experience in insurance eligibility, prior authorizations and referrals in a health care setting
• Advanced understanding of coding modifiers and their appropriate use
• Proven expertise in A/R follow-up and denial management
• Experience with Medicare, commercial insurance plans and vision plans
• Excellent communication and customer service skills
• Strong analytical, organizational and problem solving abilities
• High attention to detail and accuracy
• Strong team-work ethic
• Ability to work in fast-paced environment and manage time effectively
• Experience with ophthalmology and optometry billing preferred
• Compulink practice management experience a plus
• CPC, COPC or similar certification preferred

What You'll Do

• Review and validate patient demographics, insurance details, charges and coding
• Verify and document insurance coverage and limits prior to patient exams using eligibility tools
• Contact patients regarding balance due at time of service
• Effectively communicate insurance coverage limits to patients
• Obtain prior authorizations relevant to date of service for procedures, surgeries and testing as needed
• Review medical records to ensure proper coding
• Bill claims from Compulink practice management software
• Download and post EFTs from clearinghouse, post insurance checks and patient payments
• Resolve claim edits, rejections and denials
• Ensure compliance with timely filing requirements and regulatory standards
• Assists in patient billing collection process and special billing projects
• Serve as a expert for billing processes, coding and payer requirements
• Support accurate eligibility verification, authorizations and referral processes
• Identify workflow improvements to reduce denials and increase efficiency
• Assist front office staff, when necessary, including scheduling appointments, performing check-in and check-out procedures, answering phones and day-end close activities

Why Join Griffith Eye Center?

• Friendly, team oriented-culture
• Small practice atmosphere
• Monday through Friday work week
• Competitive benefits
• Medical Insurance
• 401(k) plan with yearly company contribution
• Pension plan with yearly company contribution
• Paid vacation time-off
• Paid Holidays
• Eye care discounts
• Continuing education to support certification

Salary commensurate with experience.

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Employee discount
• Health insurance
• Paid time off
• Retirement plan

Experience:

• ICD-10: 1 year (Required)
• CPT Coding: 1 year (Required)
• Medical Billing: 1 year (Required)

Work Location: In person