Billing Specialist

1 week ago


Mission Viejo, California, United States Amtec Full time
Job Title: Billing Specialist

Amtec is seeking a highly skilled Billing Specialist to join our Revenue Cycle team in Mission Viejo, CA. As a key member of our team, you will be responsible for reviewing and processing patient statements, processing refund requests, and interpreting insurance explanations of payments and benefits.

Key Responsibilities:

  • Reviews and processes patient statements for multiple locations
  • Processes refund requests and posts refunds into the system
  • Interprets insurance explanations of payments and benefits
  • Posts payments, chargebacks, adjustments, and remark codes in a timely and accurate manner
  • Researches difficult ERAs/EOBs
  • Researches 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
  • Answers incoming questions from patients and clinic team members regarding open account balances and billing issues
  • Ensures compliance with all HIPAA/HITECH requirements and 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 and develop a strong rapport and understanding of our business

Requirements:

  • Healthcare billing experience: 1 year (optometry preferred but not required)
  • Strong typing and data entry skills, including 10-key
  • Basic knowledge of Microsoft products, including Excel, Word, and Outlook

Additional Desired Experience:

  • Healthcare payment posting
  • Healthcare insurance and patient collections
  • Acuity Logic, Compulink, Eyefinity PM, and/or Officemate experience a plus
  • Optical billing, Vision Therapy billing, Medicare & MediCal billing experience a plus

Education:

  • High School diploma or General Education Degree (GED)


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