Eye Care Medical Billing & Insurance Specialist

Wheaton Eye Clinic LTD; Wheaton (IL); On-site; USD 28,000 - 32,000; Full time

Benefits offered by this job

401K plan

Job summary

Wheaton Eye Clinic LTD in Wheaton, IL seeks a Medical Billing and Insurance Representative. This full-time role (30 hrs+ per week) handles claims, billing processes, and follow-ups with insurance providers in a non-remote setting.

Responsibilities include eligibility checks, claim preparation for submission, Medicaid processing, and adherence to HIPAA regulations. Strong Excel/Office skills and understanding of CPT/ICD-10/HCPCS are essential.

Qualifications

• 1–2 years of billing and reimbursement experience for commercial insurance, Medicare and Medicaid.
• Knowledge of CPT, ICD-10, HCPCS codes and CCI edits.
• Ability to interpret remittance advice, EOBs, and payor correspondence.
• Strong verbal and written communication skills.
• HIPAA and regulatory guidelines must be followed.

Responsibilities

• Identify and resolve inquiries from patients, staff and insurance companies.
• Determine insurance eligibility for patients and assist with referral issues.
• Prepare and review claims for submission to clearinghouse following guidelines.
• File electronic Medicaid claims in accordance with state Medicaid rules.
• Perform Surgery billing and apply modifiers per Correct Coding Initiative.
• Maintain and review aging reports and take action on overdue accounts.
• Follow Wheaton Eye Clinic customer service and Medicaid guidelines.

Skills

Communication skills

Education

High School Diploma or equivalent

Insurance and Billing Certificate helpful

CPC CPB AHIMA certifications a plus

Tools

Microsoft Office

Job description

Wheaton Eye Clinic LTD in Wheaton, IL seeks a Medical Billing and Insurance Representative. This full-time role (30 hrs+ per week) handles claims, billing processes, and follow-ups with insurance providers in a non-remote setting.

Responsibilities include eligibility checks, claim preparation for submission, Medicaid processing, and adherence to HIPAA regulations. Strong Excel/Office skills and understanding of CPT/ICD-10/HCPCS are essential.