The Retina Group of Florida is a multi-physician, multi-office, and growing ophthalmology practice specializing in diseases of the retina. We are currently seeking a full-time Medical Charge Entry Specialist to join our team. The Retina Group of Florida prides itself on first-class patient care, a rewarding work environment, and creating pathways for employee growth.

We are currently seeking a Medical Billing Specialist who thrives in a meticulous environment and understands the importance of accurate billing, reimbursement, and collection processes to ensure clean claim submissions.

This position plays a fundamental role in aiding our billing/reimbursement team with the company's revenue stream to ensure compliance with payer requirements is met and maintained.

Responsibilities:

Handle daily billing activities to ensure claims are submitted, electronically or on HCFA 1500 form, accurately.
Generate and analyze billing reports to optimize revenue collection.
Learn, understand, and follow payer guidelines.
Notify management of payer policy changes.
Ensure appropriate information is submitted to insurance companies to expedite payment.
Handle incoming calls for information requests from insurance companies and patients.
Work to understand operative notes that dictate procedures billed.
Reallocate misapplied payments and adjustments.
Work on special assignments as needed.
Utilize coding resources (CPT, ICD-10, CDR, AAOS books) to understand procedures that are denied.
Document accounts correctly.
Participate in billing and collection-related meetings to discuss account resolutions.
Set up payment plans on self-pay accounts.
Review daily drug posting.
Correct posting errors.
Follow the Medical Record Release policy.
Adhere to OSHA, HIPAA, and security protocols.
Support RGF's Mission Statement.

Qualification & Requirements:

Minimum 2 years’ experience
Excellent communication skills
Knowledge of billing procedures, CPT Coding, ICD-10, Claims scrubbing, Encoder Pro, and collection techniques
Thorough understanding of AR processes, third-party payers, and CMS regulations
Ability to read and understand LCD, payer guidelines, and EOBs
Experience using medical billing software
Ability to prioritize tasks properly
Excellent verbal and written communication skills
Knowledge of Practice+ and Nextgen is a plus
Ability to answer multi-line telephones
Ability to work in a team environment and independently

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person