Billing Specialist

Duties/Responsibilities

• Reviews and processes patient statements for multiple locations.

• Process refund requests and post refunds into the system.

• Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and can independently take appropriate next steps to resolve issues.

• Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner.

• Research difficult ERAs/EOBs.

• Research open accounts receivables, resolves claims errors and reprocesses claims for successful payment.

• Maintains integrity of patient ledgers, following guidelines provided to manage balances.

• Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation of benefits.

• Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.

• Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations.

• Acts as a liaison and provides excellent customer support to teammates in our optometry practices.

• Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand our business.

• All other duties as assigned.