Medical Billing Specialist

Dahl Consulting; BLOOMINGTON (MN); On-site; USD 33,000 - 44,000; Full time

Benefits offered by this job

Health insurance with HSA

401(k) retirement plan

Life insurance

Paid time off

Employee discounts

Professional development assistance

Job summary

Dahl Consulting in Bloomington, MN is seeking an experienced Medical Billing Specialist to support the revenue cycle for an ophthalmology clinic. The role focuses on accurate claim submission, follow-up on denials, and ensuring timely payments.

You will verify insurance benefits, obtain prior authorizations, and assist patients with billing questions. Strong detail orientation and communication are essential for success in this collaborative environment.

Qualifications

• High school diploma or equivalent.
• 2+ years of medical billing experience.
• Working knowledge of medical insurance billing and claims processing.
• Knowledge of CPT and ICD-10 coding.
• Understanding of insurance benefits, medical policies, and reimbursement processes.

Responsibilities

• Prepare, review, and submit accurate medical claims to insurance carriers.
• Monitor outstanding claims and follow up on unpaid or denied claims.
• Research and resolve billing discrepancies, denials, and reimbursement issues.
• Process charges, insurance payments, patient payments, and account adjustments accurately and promptly.
• Review insurance eligibility, benefits, and coverage requirements.
• Obtain and manage prior authorizations as required.
• Communicate with insurance carriers, healthcare providers, and patients to facilitate claim resolution.
• Collaborate with scheduling, front desk, clinical, and other internal teams regarding insurance and billing questions.
• Maintain current knowledge of CPT and ICD-10 coding, payer policies, and reimbursement requirements.
• Maintain accurate documentation and support compliance with applicable billing requirements and organizational policies.
• Provide professional and compassionate assistance to patients regarding billing questions and account balances.
• Communicate billing issues, trends, and process improvement opportunities to revenue cycle and financial leadership.
• Support continuous improvement initiatives related to medical billing and revenue cycle processes.

Skills

Detail oriented

Time management

Communication skills

Customer service

Education

High school diploma or equivalent

Tools

Microsoft Office

Nextech

Job description

Medical Billing Specialist

Location: Bloomington, MN

Job Type: Permanent

Compensation: $24.00 - $32.00/hr

Industry: Ophthalmology

About the Role

Our client, a growing ophthalmology clinic and surgery center in Bloomington, MN, is seeking an experienced Medical Billing Specialist to join their team. This organization provides specialized eye care and surgical services with a strong focus on delivering a personalized, patient-centered experience. The Medical Billing Specialist will support the revenue cycle by ensuring medical claims are processed accurately and on time, following up with insurance carriers, posting payments, resolving billing issues, and assisting patients with billing-related questions. The ideal candidate is detail-oriented, organized, collaborative, and committed to providing excellent service.

Job Description

Prepare, review, and submit accurate medical claims to insurance carriers.

Monitor outstanding claims and follow up on unpaid or denied claims.

Research and resolve billing discrepancies, denials, and reimbursement issues.

Process charges, insurance payments, patient payments, and account adjustments accurately and promptly.

Review insurance eligibility, benefits, and coverage requirements.

Obtain and manage prior authorizations as required.

Communicate with insurance carriers, healthcare providers, and patients to facilitate claim resolution.

Collaborate with scheduling, front desk, clinical, and other internal teams regarding insurance and billing questions.

Maintain current knowledge of CPT and ICD-10 coding, payer policies, and reimbursement requirements.

Maintain accurate documentation and support compliance with applicable billing requirements and organizational policies.

Provide professional and compassionate assistance to patients regarding billing questions and account balances.

Communicate billing issues, trends, and process improvement opportunities to revenue cycle and financial leadership.

Support continuous improvement initiatives related to medical billing and revenue cycle processes.

Perform additional duties as assigned.

Qualifications Required

High school diploma or equivalent.

At least 2 years of medical billing experience.

Working knowledge of medical insurance billing and claims processing.

Knowledge of CPT and ICD-10 coding.

Understanding of insurance benefits, medical policies, and reimbursement processes.

Strong organizational skills and attention to detail.

Ability to effectively prioritize responsibilities, manage time, and meet deadlines.

Strong written and verbal communication skills.

Proficiency with Microsoft Office.

Ability to maintain patient confidentiality and handle sensitive information appropriately.

Strong customer service skills and the ability to communicate professionally with patients, insurance carriers, providers, and internal teams.

Positive, solutions-oriented approach with the ability to work effectively in a collaborative environment.

Preferred Qualifications

Experience working in ophthalmology, optometry, or another specialty medical practice.

Experience with claims denials, appeals, accounts receivable follow-up, and prior authorizations.

Experience using electronic practice management and medical billing systems.

Experience with Nextech.

Demonstrated ability to take initiative, identify solutions, and follow through on responsibilities.

Ability to adapt to changing processes and contribute to continuous improvement.

Benefits

• Health insurance with a Health Savings Account (HSA)
• 401(k) retirement plan
• Life insurance
• Paid time off
• Employee discounts
• Professional development assistance

Equal Opportunity Statement

As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!