Experienced Medical Billing Specialist

Reading, PA; Reading (Berks County); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

401(k)

Employee assistance program

Employee discount

Flexible spending account

Health insurance

Life insurance

Paid time off

Job summary

Eye Consultants of Pennsylvania is seeking a Billing Specialist to oversee the billing process for patients. Duties include processing payments, maintaining financial records, and calculating bill totals by reviewing prior statements.

The role requires strong accuracy and healthcare billing knowledge. The ideal candidate has 5+ years in medical billing, familiarity with ICD-10/CPT coding, and experience with EMR/EPM systems, with a detail-oriented and independent work style.

Qualifications

• 5+ years of medical billing experience.
• Knowledge of ICD-10 and CPT coding.
• Experience with EMR/EHR systems.
• Detail oriented and reliable.
• Ability to work independently and follow insurance procedures.

Responsibilities

• Enter daily charges and ensure accuracy of coding.
• Send clean claims to insurance carriers.
• Assist patients by phone, collect payments.
• Balance daily receivables and review payment inconsistencies.
• Resolve billing discrepancies and coordinate with payors.
• Process claims filed through NextGen and other portals.
• Check status of outstanding claims with insurers.

Skills

Billing

Accounts receivable

Customer service

Data entry

Medical billing

Tools

NextGen

EHR

EPM

Job description

Billing Specialist

Eye Consultants of Pennsylvania is the leading provider in Ophthalmology. We currently have 24 providers that are certified with specialties that most Ophthalmology practices cannot offer. We are also one of the leading practices with a reputation of having the latest technology and techniques to better serve our patients. Eye Consultants of PA has 5 offices with main office located in Wyomissing. Due to the high level of patients seen by our physicians, Eye Consultants of Pa, has an immediate opening within the billing department for an experienced Billing Specialist. The Billing Specialist is responsible for overseeing the billing process for our patients. Their duties include processing payments on behalf of our patients, maintaining organized financial records to aide reporting and calculating bill totals by looking through previous financial statements.

Essential Functions

• Billing Specialists performs many accounting, customer service, and organizational tasks to promote the financial health of their organization.
• These duties and responsibilities often include: entering daily charges, ensuring accuracy and completeness of ICD-10 and CPT Codes, and sending clean claims to insurance carriers.
• Assisting patients by taking their calls and answering questions, collecting payments by phone, retrieving billing information from EHR to EPM, ensuring the coding from physicians are correct, reviewing patient financial statements for any payment inconsistencies or errors, coordinating with patients, third party payors and other team members to resolve billing issues, entering payments into patient accounts, balancing daily receivables, assisting patients to find financial solutions for those who may need payment assistance, arranging budget plans with patients that meet practice guidelines, knowledge of vision claim processing, review claim errors and make appropriate claim corrections, medical terminology.
• The Billing Specialist will handle claims that are filed through NextGen and other portals used to process claims by insurance carriers.
• Work to resolve billing discrepancies, collect payments, make adjustments in the accounts, and ensure claims are submitted timely.
• Calling insurance companies or checking websites to check status of outstanding claims.

The ideal candidate would have at least 5 years of prior experience working in medical billing, have knowledge of the inter-workings of medical insurance, and EMR systems. Ophthalmology office experience preferred. This position requires a candidate who is detailed oriented, reliable, efficient, able work independently, has computer knowledge, and willing to follow up on changes in insurance procedures.

Job Type

Full-time

Pay

From $20.00 per hour

Benefits

• 401(k)
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off