Medical Insurance/Billing Specialist

4 weeks ago


Bryan, United States The Retina Center Full time
Job DescriptionJob Description

The Retina Center is a patient focused practice that treats the retina and other ocular diseases with uncompromising care. If you like fast-paced work, have an upbeat persona, are willing to learn and to be challenged, then come be a member of our team.

Our medical practice currently has a Medical Insurance/Billing Specialist position available which encompasses accounts receivables, insurance eligibility and benefits, coding and billing,and medical records.

Responsibilities:

  • Obtaining insurance eligibility and benefits verification
  • Calculating patient estimated costs
  • Becoming familiar with ophthalmic coding
  • Obtaining referrals and authorizations
  • Fielding phone calls
  • Analyze records to assign appropriate diagnostic (ICD-10) and procedural (CPT) codes
  • Identify clinical documentation deficiencies and query providers as appropriate for clarity and completeness.
  • Ensure codes are accurate, up-to-date, and sequenced correctly in accordance with government and insurance regulations
  • Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
  • Manage rejections, denials, and outstanding claims to determine appropriate remediation action to resolve root causes and reduce/eliminate bill holds resulting from coding gaps
  • Stay up to date with the constant changing environment pertaining to medical billing and coding

An ideal candidate will be a mature professional, possess critical thinking with strong attention to detail, while still being able to multi-task while working as a team.

Special consideration will be given to coding certified applicants, college graduates and motivated individuals who have shown commitment, loyalty and a drive for success throughout their work history. However, prior experience in this position is not mandatory, as on site training will be provided.

Company DescriptionThe Retina Center is an ophthalmic medical practice specializing in Retina.Company DescriptionThe Retina Center is an ophthalmic medical practice specializing in Retina.

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