The Retina RCM/Biller is a full-time, on-site role supporting end-to-end billing and revenue cycle operations for retina services. Responsibilities include preparing and submitting insurance claims, verifying patient coverage, processing charges, following up on unpaid or denied claims, posting payments, reconciling accounts, generating invoices, and helping patients understand balances and payment options. The role works closely with clinical and front desk teams to resolve documentation issues, maintain accurate billing records, and ensure compliance with payer, regulatory, and practice policies.
Requirements & Qualifications
Qualifications
- Strong understanding of the medical billing process and experience with retina or ophthalmology billing workflows.
- Proficiency in invoicing and account reconciliation within practice management or billing software.
- Basic to intermediate knowledge of accounting and finance principles relevant to medical billing and revenue cycle management.
- Effective communication skills for interacting with patients, staff, and insurance representatives.
- Experience with insurance verification, authorization processes, and handling claim denials and appeals.
- High attention to detail, accuracy in data entry, and strong organizational and time-management abilities.
- Familiarity with HIPAA and other healthcare compliance requirements related to billing and patient information.
- Previous medical billing or RCM experience in a specialty practice; retina or ophthalmology experience preferred.
- Comfort working with electronic health records (EHR) and billing software, plus general computer skills including spreadsheets.
- High school diploma or equivalent required; additional certification in medical billing, coding, or healthcare administration is a plus.
Location
Phoenix, Arizona, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago
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