Opportunity to join a growing retina practice that performs all billing operations in-house. This position is located in the Greenville office with typical working hours of 8:00 AM to 5:00 PM Monday through Thursday and 8:00 AM to 12:30 PM Friday. There is also a rotating schedule of working all day on Fridays. The Billing Specialist reports directly to the Billing Manager.
Responsibilities
- Request authorizations, occasionally same day, for injections, procedures, and in-office surgeries
- Check eligibility and run eligibility reports for assigned offices
- Follow up on claims and reprocess denials for Medicare and other insurers
- Communicate with payers regarding denials and coverage changes
- Maintain current authorization lists for all applicable insurance plans
- Prepare reports for monthly billing meetings with the management team
- Stay informed of Medicare Local Coverage Determinations and National Coverage Determinations as they relate to services provided
- Post insurance and patient payments as needed
- Manage patient financial assistance programs for medications
- Serve as backup for other billing department staff
Requirements & Qualifications
Experience
- Five years of medical billing experience preferred
- Two years of medical billing experience required
- Prior experience in a high-volume billing office required
Skills
- Critical thinking
- Multitasking
- Typing proficiency
- Strong communication skills
- Proper documentation
Benefits & Perks
Extensive benefits package including:
- Health insurance
- Short- and long-term disability
- Life insurance
- 401(k) plan
- Paid holidays
- Educational benefits
- Uniform stipends
- Paid time off
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago