Retina Consultants San Diego
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Billing Coordinator
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Retina Consultants San Diego 4 days ago Be among the first 25 applicants Join to apply for the
Billing Coordinator
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Retina Consultants San Diego Get AI-powered advice on this job and more exclusive features. Billing Specialist
The Billing Specialist will play a vital role in the financial operations of our ophthalmology practice, ensuring that claims are processed efficiently and patient billing inquiries are handled with care. The role encompasses a range of tasks within the billing department, including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, reimbursement management, and authorization management.
Reports to: Revenue Cycle Manager
Key Responsibilities
Claims Management: Work on accounts receivable (A/R), process rejected claims, and perform necessary follow-up to ensure successful claim processing. Follow up on claims using various systems, including Nextech EHR, TriZetto clearinghouse, and others. Prepare and submit clean claims to insurance companies electronically or by paper. Correct and resubmit claims to third-party payers when needed. Mail appropriate patient contact letters to resolve outstanding claims.
Billing Operations
Maintain contact with other departments to obtain and analyze patient information for accurate billing documentation. Respond to patient inquiries and billing concerns via phone, email, and messaging portals. Perform follow-up calls and written correspondence to patients and payers as needed. Prepare, review, and send patient statements as necessary.
Authorization Management
Obtain and verify insurance authorizations and pre-certifications for procedures and services. Ensure all necessary authorizations are secured prior to patient appointments and procedures. Track authorization expirations and follow up on renewals as needed. Communicate with patients and insurance companies to resolve authorization issues or delays.
Customer Service & Compliance
Identify and resolve patient billing complaints in a timely manner. Adhere to policies regarding safety, confidentiality, and HIPAA guidelines. Establish and maintain effective working relationships with office staff and doctors, ensuring a collaborative work environment.
Qualifications And Requirements
Minimum of 2+ years of experience in ophthalmology billing. Knowledge of medical terminology specific to ophthalmology. Proficiency in CPT, HCPCS, and ICD codes related to ophthalmology. High school diploma required; an associate degree is preferred.
Skills
Ability to work independently with minimal supervision. Strong organizational and time management skills. Detail-oriented with the ability to manage multiple tasks and meet deadlines. Strong communication skills, with the ability to effectively interact with patients and office staff. Resourceful, result-driven, and a team player.
Work Environment
Hybrid position with the ability to be on-site for meetings, training, or other work-related functions. Monday through Friday, 8:00 AM to 5:00 PM.
Compensation Range: $23.00 – $28.00 per hour.
Note: The content of this job description is intended to provide a general overview of the job's key responsibilities and qualifications. Additional responsibilities may be assigned to meet practice needs.
Job Type: Full-time
Pay: $23.00 - $28.00 per hour
Expected hours: 40 per week
Benefits
401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance
Schedule
8 hour shift Day shift Monday to Friday
Experience
ICD-10: 2 years (Required)
Ability To Commute
Poway, CA (Required)
Work Location: Hybrid Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Retina Consultants San Diego by 2x Get notified about new Billing Coordinator jobs in
Poway, CA . DEALERSHIP ACCOUNTING OFFICE $19.00 -$27.00
Accounts Receivable (AR) Accounting Specialist
Chula Vista, CA $21.00-$27.00 2 months ago San Diego Metropolitan Area $31.00-$46.00 5 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Billing Coordinator
role at
Retina Consultants San Diego 4 days ago Be among the first 25 applicants Join to apply for the
Billing Coordinator
role at
Retina Consultants San Diego Get AI-powered advice on this job and more exclusive features. Billing Specialist
The Billing Specialist will play a vital role in the financial operations of our ophthalmology practice, ensuring that claims are processed efficiently and patient billing inquiries are handled with care. The role encompasses a range of tasks within the billing department, including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, reimbursement management, and authorization management.
Reports to: Revenue Cycle Manager
Key Responsibilities
Claims Management: Work on accounts receivable (A/R), process rejected claims, and perform necessary follow-up to ensure successful claim processing. Follow up on claims using various systems, including Nextech EHR, TriZetto clearinghouse, and others. Prepare and submit clean claims to insurance companies electronically or by paper. Correct and resubmit claims to third-party payers when needed. Mail appropriate patient contact letters to resolve outstanding claims.
Billing Operations
Maintain contact with other departments to obtain and analyze patient information for accurate billing documentation. Respond to patient inquiries and billing concerns via phone, email, and messaging portals. Perform follow-up calls and written correspondence to patients and payers as needed. Prepare, review, and send patient statements as necessary.
Authorization Management
Obtain and verify insurance authorizations and pre-certifications for procedures and services. Ensure all necessary authorizations are secured prior to patient appointments and procedures. Track authorization expirations and follow up on renewals as needed. Communicate with patients and insurance companies to resolve authorization issues or delays.
Customer Service & Compliance
Identify and resolve patient billing complaints in a timely manner. Adhere to policies regarding safety, confidentiality, and HIPAA guidelines. Establish and maintain effective working relationships with office staff and doctors, ensuring a collaborative work environment.
Qualifications And Requirements
Minimum of 2+ years of experience in ophthalmology billing. Knowledge of medical terminology specific to ophthalmology. Proficiency in CPT, HCPCS, and ICD codes related to ophthalmology. High school diploma required; an associate degree is preferred.
Skills
Ability to work independently with minimal supervision. Strong organizational and time management skills. Detail-oriented with the ability to manage multiple tasks and meet deadlines. Strong communication skills, with the ability to effectively interact with patients and office staff. Resourceful, result-driven, and a team player.
Work Environment
Hybrid position with the ability to be on-site for meetings, training, or other work-related functions. Monday through Friday, 8:00 AM to 5:00 PM.
Compensation Range: $23.00 – $28.00 per hour.
Note: The content of this job description is intended to provide a general overview of the job's key responsibilities and qualifications. Additional responsibilities may be assigned to meet practice needs.
Job Type: Full-time
Pay: $23.00 - $28.00 per hour
Expected hours: 40 per week
Benefits
401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance
Schedule
8 hour shift Day shift Monday to Friday
Experience
ICD-10: 2 years (Required)
Ability To Commute
Poway, CA (Required)
Work Location: Hybrid Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Retina Consultants San Diego by 2x Get notified about new Billing Coordinator jobs in
Poway, CA . DEALERSHIP ACCOUNTING OFFICE $19.00 -$27.00
Accounts Receivable (AR) Accounting Specialist
Chula Vista, CA $21.00-$27.00 2 months ago San Diego Metropolitan Area $31.00-$46.00 5 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr