Midwest Eye Consultants
Billing Representative - Integrations
Midwest Eye Consultants, Wabash, Indiana, United States, 46992
Position Summary
The Billing Representative will process claims and post payments to patient accounts in an accurate and timely manner that is legal, professional and within the guidelines of the company, Medicare, Medicaid and all third‑party payors.
Location Wabash, IN (On‑site)
Essential Responsibilities
Review and process medical insurance claims.
Resolve insurance billing related issues with insurance companies regarding facility and physician billing.
Correct and re‑bill insurance claims for payment per the billing guidelines of the payor.
Resolve coding and claim discrepancies with insurance companies.
Expedite payment from Medicare, Medicaid and third‑party payors to reduce accounts receivable aging.
Respond to denied claims quickly and efficiently to ensure prompt payment.
Process patient statements, collections and refunds.
Post payments from insurance payors as well as patient statements.
Assist with billing/payment questions from staff/patients, serving as a resource for insurance coverage questions.
Communicate issues to Manager with suggested solutions to improve.
Assist with education of office staff to improve collections performance.
Perform any other related duties as assigned by the Supervisor.
Other Responsibilities
Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and CMS 1500 forms.
Maintain strong working knowledge of Medicare, Medicaid and third‑party coding, billing and collection policies, procedures and laws.
Demonstrate a strong working knowledge of CPT and ICD‑10 codes and competency regarding procedural, diagnosis and HCPC coding.
Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collections.
Demonstrate a strong working knowledge of an electronic health record system and claims clearinghouse software.
Work with ten‑key calculators, computers and practice management software in a competent manner.
Protect Bridgeview Eye Partners and its assets by following all billing and compliance guidelines and never knowingly committing a fraudulent act.
Protect and maintain confidentiality of sensitive PHI and company information.
Education and Experience
Minimum of two (2) years of experience in patient services and/or Medicare/Medical billing preferred.
Experience in Optometry/Ophthalmology billing preferred.
Competencies
Communication skills
Attention to detail
Adaptability
Customer service orientation
Problem solving skills
Integrity
Confidentiality
Decision‑making skills
Professional composure
Physical Demands and Work Environment (ADA Guidelines)
Talking, hearing, repetitive motion.
Sedentary work, involving sitting most of the time.
Visual acuity required to determine accuracy, neatness, and thoroughness of work assigned.
Personal Development Demonstrate and maintain technical knowledge of the job and related procedures and policies to provide high quality support to the department, including participation in advanced training and/or certification in the field as appropriate.
Values and Commitment Each employee must demonstrate a commitment to the organization’s values, standards of conduct, and standards of care.
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Location Wabash, IN (On‑site)
Essential Responsibilities
Review and process medical insurance claims.
Resolve insurance billing related issues with insurance companies regarding facility and physician billing.
Correct and re‑bill insurance claims for payment per the billing guidelines of the payor.
Resolve coding and claim discrepancies with insurance companies.
Expedite payment from Medicare, Medicaid and third‑party payors to reduce accounts receivable aging.
Respond to denied claims quickly and efficiently to ensure prompt payment.
Process patient statements, collections and refunds.
Post payments from insurance payors as well as patient statements.
Assist with billing/payment questions from staff/patients, serving as a resource for insurance coverage questions.
Communicate issues to Manager with suggested solutions to improve.
Assist with education of office staff to improve collections performance.
Perform any other related duties as assigned by the Supervisor.
Other Responsibilities
Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and CMS 1500 forms.
Maintain strong working knowledge of Medicare, Medicaid and third‑party coding, billing and collection policies, procedures and laws.
Demonstrate a strong working knowledge of CPT and ICD‑10 codes and competency regarding procedural, diagnosis and HCPC coding.
Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collections.
Demonstrate a strong working knowledge of an electronic health record system and claims clearinghouse software.
Work with ten‑key calculators, computers and practice management software in a competent manner.
Protect Bridgeview Eye Partners and its assets by following all billing and compliance guidelines and never knowingly committing a fraudulent act.
Protect and maintain confidentiality of sensitive PHI and company information.
Education and Experience
Minimum of two (2) years of experience in patient services and/or Medicare/Medical billing preferred.
Experience in Optometry/Ophthalmology billing preferred.
Competencies
Communication skills
Attention to detail
Adaptability
Customer service orientation
Problem solving skills
Integrity
Confidentiality
Decision‑making skills
Professional composure
Physical Demands and Work Environment (ADA Guidelines)
Talking, hearing, repetitive motion.
Sedentary work, involving sitting most of the time.
Visual acuity required to determine accuracy, neatness, and thoroughness of work assigned.
Personal Development Demonstrate and maintain technical knowledge of the job and related procedures and policies to provide high quality support to the department, including participation in advanced training and/or certification in the field as appropriate.
Values and Commitment Each employee must demonstrate a commitment to the organization’s values, standards of conduct, and standards of care.
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