
Medical Billing Expert
1 day ago
You will play a crucial role in managing outsourced revenue cycle management services for optometric practices. Your responsibilities include all aspects of insurance billing and processing, such as claim review and correction, claim submission, payment posting, researching rejections, aged claims, and submitting appeals.
Key Responsibilities:- Manage accounts receivables and keep up-to-date records.
- Coordinate with healthcare providers and insurance companies for claim submission and follow-up.
- Generate revenue by making payment arrangements, collecting accounts, and monitoring delinquent accounts.
- Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up when payments lapse.
- Maintain Medicare bad-debt cost report.
- Secure outstanding balance payments for care of employees.
- Verify insurance eligibility for patients and ensure timely payment.
- Handle denied claims and appeal if necessary.
- Reconcile payments and post to patients' accounts.
- Maintain compliance with HIPAA regulations.
- Handle patient inquiries regarding their accounts.
- At least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist.
- Strongly experienced in eyecare related billing in an optometric practice setting.
- Knowledge of medical billing and coding practices.
- Strong understanding of healthcare billing process.
- Familiarity with healthcare insurance plans and related policies.
- Experience with HIPAA regulations.
- Excellent communication and customer service skills.
- Strong attention to detail.
- Strong computer skills and experience with medical billing software.
- Amenable to work in any US time zones (graveyard shift).
- Experience in the following system is a PLUS: RevolutionEHR, Officemate, CrystalPM, Eyefinity, etc.
- Processor: Either Intel Core i5 and up or AMD Ryzen 5 and Up.
- RAM 8GB and up.
- OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license.
- Internet Connectivity: At least 50 Mbps and should be wired; Back-up connection and Power Supply.
- Hard Disk: At least an SSD.
- For Mac Processor: Apple M1 chip.
- RAM: 8GB and up.
- Permanent Work From home.
- Permanent Weekends Off.
- Great Company Culture and No Micromanagement.
- Specialized Training.
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