Medical Biller

Shelby American, Inc.; Fort Collins (CO); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading eyecare organization as a Medical Biller responsible for managing insurance claims in a fast-paced environment. You'll play a crucial role in ensuring timely reimbursements, utilizing your expertise to optimize billing processes and handle patient communications effectively. Enjoy a full-time remote role with competitive compensation and comprehensive benefits.

Benefits

PTO Accruals Start at 3 Weeks

Comprehensive Medical and Dental Insurance

Company-Paid Routine Eye Care

Short-Term and Long-Term Disability Insurances

Paid Holiday Program

401K with Company Match

Qualifications

• Minimum 2-3 years in medical billing for ophthalmology/ASC.
• Expertise in CPT, ICD-10, HCPCS coding required.
• CPB or CPC certification preferred.

Responsibilities

• Prepare and submit insurance claims for various eye care services.
• Review and resolve claim denials and coding discrepancies.
• Communicate with patients regarding billing issues.

Skills

Billing & Coding Expertise

Analytical Thinking

Communication Excellence

Multitasking & Organization

Technical Proficiency

Education

Certified Professional Biller (CPB)

Certified Professional Coder (CPC)

2-3 years of experience in medical billing

Tools

EHR and practice management systems

NextGen

Job description

At Panorama Eyecare, we are not just a team; we are a community of dedicated professionals united in our quest to provide the best eyecare anywhere. Our unflinching commitment to excellence and our core values make us an Employer of Choice. Join us in shaping the future of eyecare as we thrive together!

The Position:

The Medical Biller is responsible for accurately preparing and submitting insurance claims, managing account balances, and ensuring timely reimbursement for services. This role requires expertise in ophthalmology, optometry, retina, and ambulatory surgery center (ASC) billing. The ideal candidate thrives in a fast-paced environment and has a strong understanding of payer guidelines, coding, and revenue cycle management.

Responsibilities:

• Prepare and submit claims to insurance companies for ophthalmology, optometry, retina, and ASC services.
• Utilize CPT, ICD-10, and HCPCS codes to ensure accurate and compliant claims submission.
• Review and resolve coding discrepancies or claim denials efficiently.
• Track, review, and follow up on unpaid or denied claims.
• Work with insurance carriers to resolve payment delays, appeals, and denials.
• Ensure timely and accurate posting of payments and adjustments.
• Communicate with patients to explain billing issues, resolve account discrepancies, and collect outstanding balances.
• Collaborate with clinical and administrative teams to streamline billing workflows.
• Stay updated on changes in coding guidelines, payer policies, and industry best practices.

Requirements

Performance/Skills Requirements:

• Billing & Coding Expertise: Proficiency in CPT, ICD-10, and HCPCS coding.
• Analytical Thinking: Strong problem-solving skills for claims resolution and reimbursement optimization.
• Communication Excellence: Effective verbal and written communication skills for insurance and patient interactions.
• Multitasking & Organization: Ability to manage multiple accounts and deadlines in a fast-paced environment.
• Technical Proficiency: Experience using EHR and practice management systems, such as NextGen.

Education/Certifications/Experience:

• Minimum of 2-3 years of experience in medical billing within ophthalmology, optometry, retina, and ASC settings.
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent certification preferred.
• Experience interpreting EOBs and working with payer-specific billing guidelines.
• Strong knowledge of Medicare, Medicaid, and commercial insurance billing practices.

Additional Job Details:

• This is a Full-Time remote position for candidates who reside in one of the following approved states: CO, FL, KS, MA, MI, MO, NM, OR, PA, SC, VA, WY, or NC.
• Compensation for this role will be $20.79 - $23.87 based on experience and qualifications.

The Perks:

• PTO Accruals Start at 3 Weeks
• Comprehensive Medical and Dental Insurance
• Company-Paid Routine Eye Care
• Short-Term and Long-Term Disability Insurances
• Paid Holiday Program
• 401K with Company Match

Join Our Team!

Embark on a rewarding journey with Panorama Eyecare and become part of a team that embodies the values of Partnership, Engagement, Excellence, and Stewardship. As an Eyecare Professional, you will not only provide exceptional patient care but also shape the future of our practices. Together, we are transforming the eyecare landscape. Our job postings are open for 30 days or until a qualified candidate is hired. Click "apply" now and let your passion for excellence and patient well-being shine!

EEOC:

Panorama Eyecare is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law.