Billing Specialist

Retina Consultants of Carolina; Greenville (SC); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Health insurance

Short and long term disability

Life insurance

401K plan

Paid holidays

Educational benefits

Uniform stipends

Paid time off

Job summary

Retina Consultants of Carolina is seeking a Billing Specialist to join our Greenville office. The role operates 8 am–5 pm, Monday through Thursday, and 8 am–12:30 pm Friday, with a rotating schedule to work all day on Fridays.

The Billing Specialist reports directly to the Billing Manager. The position requires handling authorizations, eligibility checks, claim follow-up, payer communications, and reporting.

Qualifications

• Five years of medical billing experience preferred, two years required.
• Experience in a high-volume billing office.

Responsibilities

• Request authorizations for injections, procedures and in-office surgeries.
• Check eligibility and run reports for assigned offices.
• Claim follow-up and denial reprocessing for Medicare and other insurances.
• Communicate with payers regarding denials and coverage changes.
• Maintain current authorizations for all applicable insurances.
• Prepare reports for monthly billing meetings.
• Stay informed on Medicare Local/National Coverage Determination related to our services.
• Post insurance and patient payments as needed.
• Manage patient financial assistance programs for medications.
• Serve as back-up for other billing staff.

Skills

Critical thinking

Multi-tasking

Typing Proficiency

Communication skills

Proper Documentation

Job description

Opportunity to join a growing retina practice that performs all of our billing operations in house. This position is located in our Greenville office with typical working hours of 8 am to 5 pm Monday through Thursday and 8 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.

Job Responsibilities

• Request authorizations, occasionally same day, for injections, procedures and in office surgeries
• Check eligibility and run eligibility reports for assigned offices
• Claim follow up and denial reprocessing for Medicare and other insurances
• Communicate with payers regarding denials and coverage changes
• Maintain current list of authorizations for all applicable insurances
• Prepare reports for monthly billing meeting with Management team
• Stay informed of Medicare Local Coverage Determination and National Coverage Determination as related to our services
• Post insurance and patient payments as needed
• Manage patient financial assistance programs for medications
• Serve as back up for other billing department staff

Experience Requirements

• Five years of medical billing experience is preferred, two years of experience is required
• Must have previously worked in high volume billing office

Skill Requirements

• Critical thinking
• Multi-tasking
• Typing Proficiency
• Communication skills
• Proper Documentation

Our practice offers an extensive benefit package including health insurance, short and long term disability, life insurance, 401K plan, paid holidays, educational benefits, uniform stipends, and paid time off.