Medical Billing Specialist
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Job Location:
Bloomington, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
20 hours ago
Vacancies:
1 Vacancy
Job Summary
At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients lives. We are building the leading nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values.
Unifeye Vision Partners is currently hiring for afull-timeMedical Billing (AR) Specialist at our Bloomington location. This position can be remote OR a hybrid position: work from home or in office/remote.
SUMMARY
SUMMARY
The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims working denials and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES- Prepare and submit professional and/or institutional medical claims to payers electronically or via paper when necessary
- Review patient accounts for accuracy completeness and compliance with regulatory and contractual guidelines
- Troubleshoot claim rejections denials or unpaid claims while working with third party payers as well as patients to resolve the billing. This includes submitting corrected claims and creating appeal letters in a timely manner
- Analyze reimbursement audits to ensure transaction processing accuracy according to payer contracts.
- Processing correspondence and filing in a timely manner
- Post payments and adjustments as needed; work with payment posters when discrepancies arise
- Collaborate with coding front office patients and other departments to resolve billing issues
- Communicate effectively with insurance payers patients and colleagues via phone and written correspondence
- Provide customer service while addressing patient billing calls; resolves issues to meet patient needs or requirements in a timely and proactive manner
- Ensure all billing activities are HIPAA-compliant and follow internal policies
- Maintain up-to-date knowledge of payor guidelines coding changes and billing regulations
- Participate in team meetings trainings and process improvement initiatives
- Support audits and provide documentation when requested
- Other duties as assigned
EDUCATION AND/OR EXPERIENCE
- High school diploma or equivalent required; Associate degree or certification in medical billing/coding preferred
- 2 years of medical billing experience in a healthcare setting (ophthalmology or specialty care experience a plus)
- Strong understanding of CPT ICD-10 and HCPCS coding systems
- Experience with electronic health records (EHRs) and billing software; knowledge of systems like NextGen Nextech Trizetto or similar is beneficial
- Familiarity with payor portals including Medicare Medicaid and commercial insurers
- Excellent organizational and communication skills
- Detail-oriented with a commitment to accuracy and compliance
- Ability to work independently and manage multiple tasks efficiently
BENEFITS
- Health Insurance (medical dental vision HSA)
- Paid Time Off (PTO)
- Holiday Pay
- 401K Retirement Savings Plan
- Other Benefits: Accident Hospital Indemnity Critical Illness Life/AD&D Disability Commuter Dependent Care Adoption & Surrogate Pet Insurance
- Employee Assistance Program
- Employee Discounts
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
The eye doctors and ophthalmologists at Minnesota Eye Consultants specialize in LASIK, cataracts, and more in Minneapolis, Minnesota.
