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Healthcare Billing Specialist

2 months ago

Garden City, New York, United States Spectrum Vision Full time
Position Overview

WHO WE'RE SEEKING

Spectrum Vision Partners (SVP) and OCLI Vision (OCLI) collaborate to deliver exceptional eye care services aimed at enhancing patient lives. As a management services entity, SVP supports OCLI Vision, a prominent multi-specialty ophthalmology network in the United States. Our distinctive operational model and cooperative culture set us apart in the industry and in our patient care approach. We are committed to cultivating a positive workplace culture, focusing on team building and employee satisfaction, while offering competitive benefits and paid time off.

ROLE SUMMARY

We are in search of dedicated and meticulous individuals to become part of our billing department. This position involves working closely with the finance manager and clinical personnel to resolve any discrepancies related to billing for patient visits. You will be responsible for researching and communicating with patients about their insurance benefits and financial obligations, ensuring accurate verification and entry of insurance information.

KEY RESPONSIBILITIES

  • Reconcile billing statements with patient charts to confirm all charges are accounted for.
  • Input surgical charges; liaise with surgery centers and clinical staff to verify the accuracy of procedures.
  • Ensure that all necessary documentation is present to justify charges. Review medical policies to confirm that charges align with the correct diagnosis for medical necessity as per insurance guidelines.
  • Generate weekly reports on unbilled visits to identify any outstanding charges.
  • Timely and accurately post payments received from patients.
  • Establish payment plans with patients when suitable and mutually agreed upon.
  • Review surgical schedules for eligibility and financial arrangements, ensuring prior authorization is secured for upcoming procedures.
  • Process requests from the Bureau of Disability and legal representatives by entering appropriate charges and preparing necessary documentation for submission.
  • Assist clerical staff with entering insurance details for patient visits, addressing any inquiries they may have.
  • Handle incoming calls directed to the finance department from patients and insurance companies, discussing account details as needed.

QUALIFICATIONS FOR SUCCESS

  • High school diploma or equivalent required.
  • A minimum of two years of experience in a medical office setting; billing and collections experience is preferred.
  • Certification as an Ophthalmic Coding Specialist is advantageous.
  • Strong communication skills, both verbal and written.
  • Excellent organizational abilities and attention to detail.
  • Familiarity with medical billing, coding, and insurance processes.
  • Proficient follow-up skills.
  • Able to manage multiple tasks efficiently.
  • Team-oriented mindset.

ABOUT US

Our esteemed healthcare team comprises some of the leading experts in ocular medicine. With a senior management team boasting over 200 years of combined experience in the eye care industry, we collaborate with some of the most reputable practices nationwide. Our providers are equipped to diagnose and treat a wide range of ocular conditions, ensuring comprehensive care for patients of all ages. We prioritize building lasting relationships with our patients.

With nearly 1,400 employees, we operate over 50 clinic locations and five state-licensed ambulatory surgery centers, supported by more than 110 surgeons, doctors, and medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, among others.

At Spectrum Vision Partners, we are dedicated to fostering diversity and inclusivity within our workplace, recognizing that it is essential to our success. We strive to create an environment where every individual is treated equitably, regardless of their background. We are committed to equal opportunity employment and uphold a bias-free workplace where harassment is not tolerated, respecting cultural diversity and adhering to applicable laws.