Billing and Insurance Specialist - Optometry Practice

Key responsibilities

• Communicate clearly with patients and team members about insurance benefits and eligibility for medical and vision plans
• Stay current on optometry and opticianry coding guidelines and insurance policies
• Accurately bill and code clinical services and opticianry products
• Collaborate with optometrists and team members to ensure billing accuracy
• Submit and follow up on insurance claims
• Post payments and reconcile EOBs
• Identify billing issues and patterns
• Investigate and resolve denied or underpaid claims, including writing appeals
• Send statements and follow up on outstanding patient balances
• Record, apply, and reconcile daily deposits
• Help maintain a smooth and timely billing process

Qualifications

• High school diploma or equivalent required
• 1+ years of medical billing experience, preferably in optometry or ophthalmology
• Familiarity with medical and vision insurance, including Medicare, Medicaid, commercial, and vision plans
• Experience with EHR and billing software
• Knowledge of CPT and ICD-10 coding
• Commitment to patient privacy and HIPAA compliance

Required skills

• Strong investigative and problem-solving skills
• Ability to multitask and manage time with strong attention to detail
• Professional, friendly, adaptable communication skills
• Ability to collaborate with a team and work independently
• Flexible, dependable, and patient-focused approach
• Strong math skills

Benefits

• Dental insurance
• Employee discount
• Health insurance
• On-the-job training
• Paid time off
• Professional development assistance
• Retirement plan