Full description

Summary/Objective

The Medical Billing Specialist is responsible for timely and accurate billing of all medical claims for a vision care practice. This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional responsibilities include A/R, collections, and the revision of claims in third-party databases as necessary to secure payment.

Primary Function

Ensure timely and accurate submission of claims Ensure proper coding and filing of all Medical claims Review of Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance Monitor, and follow-up on unpaid claims Monitoring and managing all denied and rejected Medical claims for proper corrections and refiling Ensure rejected bills are corrected and resubmitted Accurately prepare, maintain and monitor practice specific MIPs reporting Minimum Qualifications/Requirements Minimum of three years of billing experience working with commercial insurance/Medicaid/Medicare required. CPT/ICD 10 coding experience required; certification preferred. Computer Skills: 3 years (Required) medical billing: 3 years (Required) CPT/ICD 10 Coding: 1 year (Preferred)