Medical Biller - Ophthalmology/Optometry

We are seeking a detail-oriented and energetic medical biller specializing in ophthalmology and optometry to join a dynamic healthcare team. In this role, you will manage the billing process for ophthalmic and optometric services, ensure accurate coding, submit claims on time, and follow up on outstanding accounts. This position supports revenue cycle management, cash flow improvement, and patient satisfaction through clear communication and efficient billing practices.

Responsibilities

• Prepare and submit accurate insurance claims using CPT, ICD-9, ICD-10, and DRG coding standards specific to ophthalmology and optometry procedures.
• Review patient medical records to ensure documentation aligns with billing requirements and coding accuracy.
• Manage medical collections by following up on unpaid or denied claims and working closely with insurance companies and patients.
• Use billing software, EMR, and EHR systems to process claims efficiently and maintain comprehensive medical records.
• Verify patient insurance coverage, explain benefits, and address billing inquiries.
• Stay updated on healthcare claims management policies, health insurance regulations, and coding guidelines.
• Collaborate with medical office staff to streamline billing workflows and improve revenue cycle performance.