Healthcare Billing Specialist

4 weeks ago


Mason Ohio, United States Global Channel Management, Inc Full time

Job Summary:

Global Channel Management, Inc is seeking a skilled Billing Invoicing Processor to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and invoicing for our healthcare clients.

Key Responsibilities:

  • Accurate Invoicing: Identify high-risk clients and validate billing processes to ensure accurate invoicing.
  • Process Improvement: Identify and recommend system/process modifications to improve efficiency and effectiveness.
  • Account Management: Determine and initiate requests for account holds & retro billing.
  • Auditing: Audit new or modified set-ups to ensure accurate invoicing and data transfers.

Requirements:

  • Medical Terminology: Understanding of medical terms related to vision care.
  • Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
  • Computer Proficiency: Ability to use billing software, electronic health records (EHR), and other healthcare management systems.
  • Communication: Effective communication with healthcare providers, insurance companies, and patients.
  • Experience: 3+ years of experience in a related field or 5+ years of experience in a related field without a degree.

Preferred Qualifications:

  • Experience in Vision Care Settings: Specific experience in ophthalmology or optometry practices is advantageous.
  • Understanding of Privacy and Security Regulations: Familiarity with HIPAA and other relevant regulations.


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