Medical Biller

ADP, Inc.; Oklahoma City (OK); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health benefits

401(k) retirement plan

Paid vacation & holidays

Accrual PTO

Health insurance

Paid time off

Job summary

Oklahoma Eye Surgeons, PLLC is seeking a medical biller to manage all components of the revenue cycle in a fast-paced ophthalmology office. You will work with coders to compile and submit claims, verify payer requirements, and help optimize collections.

Ideal candidates have 5+ years in healthcare CS and billing, experience with CPT/ICD-10, and proficiency in ModMed Health Collector, MS Office, and billing systems. No remote work; full-time schedule in Oklahoma City.

Qualifications

• High school education or equivalent required.
• 5+ years in Healthcare Customer Service and Billing System (preferred).
• Must have working experience with all payer types: commercial, governmental, Medicare, Medicaid, HMO.
• Experience identifying billing or payer edit opportunities.

Responsibilities

• Process data from coders to compile and submit insurance claims.
• Review initial claims with ModMed - Health Collector and scrub/billing to the clearinghouse.
• Validate claims, correct errors, and ensure clean electronic or paper submission.
• Document accounts accurately and follow policies for billing, payer rejections, and privacy.
• Provide timely information to team lead about issues affecting billing or collections.

Skills

Healthcare customer service

Billing system experience

CPT/ICD-10 knowledge

Communication

Education

High school diploma or equivalent

5+ years in Healthcare CS & Billing

Tools

ModMed Health Collector

Billing software

Word Excel Outlook

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Biller

30+ days ago Requisition ID: 1004

Salary Range: $17.00 To $23.00 Hourly

SUMMARY:

Oklahoma Eye Surgeons is seeking a customer service-oriented individual to add to our dynamic team. We are looking for someone who enjoys working with people of all ages in a fast-paced, growing medical office setting. While performing all components of the revenue cycle, including Billing, Coding, Insurance Verification, and the Collections Process for existing and new patients. Supports the vision and mission of Oklahoma Eye Surgeons by providing excellent customer service throughout the entire billing process.

PRIMARY DUTIES:

1. As a Medical Biller, you will take the data provided by the medical coders and use it to compile and submit claims to insurance companies.

Utilize ModMed - Health Collector system to review the initial claim scrub and billing to the clearinghouse.

• Validate claims and make any corrections necessary to send out clean claims to the payers electronically and/or on paper.

Employ effective and efficient billing techniques and self-directed initiative to resolve all types of billing edits.

• Understand Coding of ophthalmic exams and tests
• Document accounts accurately and timely.
• Follow department policies and procedures defined by the department as required to meet payer and regulatory requirements related to claims billing, payer rejections, and clean claim submission, including procedures related to release of information, record retention, privacy, and confidentiality.

Provide information to team lead in identifying possible areas of concern that impact account billing or collections, accurately and promptly.

EDUCATION AND/OR EXPERIENCE:

• High school education or equivalent required.
• 5+ years in Healthcare Customer Service and Billing System from a Technical and Functional view (preferred).
• Must have working experience with all payer types: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross over into different payers.
• Experience and ability to identify billing or payer edit opportunities.

QUALIFICATIONS:

• Knowledge of ophthalmology billing and ModMed practice management system is a plus.
• Prefer candidate to have experience with CPT, ICD-10, and NCCI coding, proficient in 10 key charge entry, experience with multiple types of insurance and reviewing the cards. Understanding of co-pay, coinsurance, and deductibles.
• Intermediate experience in electronic claim submission and edit resolutions, third party payer insurance verification, collections and denial resolution process.
• Word, Excel and Outlook experience is required. Ability to learn new programs and systems is required.
• Ability to read and evaluate Healthcare Receivables Information.
• No Remote Work

About Oklahoma Eye Surgeons, PLLC:

Oklahoma Eye Surgeon is a growing physician services company, offering you the chance to be part of a mission-driven organization that’s advancing the field of healthcare.

With OES, you are part of something bigger. We serve with excellence, grace, and compassion, while maintaining a sense of urgency in helping our patients with their needs. We believe all people deserve respect. This isn’t just another doctor's office. We choose to practice exceptional hospitality to each patient.

Oklahoma Eye Surgeons is the employer of choice for individuals who wish to pursue their passion of making healthcare better. We offer competitive benefits to all full-time associates, including:

• Health Benefits (Medical & Dental Programs)
• 401(k) Retirement Plan
• Paid Vacation& Holidays
• Accrual PTO

Job Type: Full-time

• 401(k)
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Ability to commute/relocate:

Oklahoma City, OK 73112: Reliably commute or plan to relocate before starting work (Required)