Medical Billing Specialist

Associated Retina Consultants; Casa Grande (AZ); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life Insurance

Disability insurance

Paid holidays

Vacation time

Sick time

Job summary

Associated Retina Consultants is seeking a detail‑oriented Medical Billing Specialist to process insurance payments, enter charges, and assist patients with their accounts in a high‑volume ophthalmology billing environment.

The role requires accuracy, knowledge of CPT/ICD‑10 coding, and strong communication with payers. 2+ years of medical billing experience is preferred, with proficiency in EMR systems and Microsoft Office. This is an in‑office, full‑time position in Casa Grande, AZ.

Qualifications

• High School Diploma or Equivalent required.
• 2+ years medical billing experience preferred.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Proficient in Microsoft Word, Outlook, Excel, and 10 key calculators.
• Basic knowledge of medical terminology, including CPT/ICD-10 coding.
• HIPAA confidentiality awareness.

Responsibilities

• Maintain patient confidentiality and handle personal information.
• Prepare weekly and monthly reports for executive director and billing supervisor.
• Verify claim accuracy before submission and review denials to maximize reimbursement.
• Follow aging reports to pursue unpaid claims over 30 days.
• Review referrals and authorizations for billing accuracy.
• Respond to questions from patients, insurers, and providers.

Skills

Planning and organizing

Attention to detail

Problem-solving

Teamwork

Multitasking

Customer service

Electronic Medical Records (EMR)

Communication skills

Integrity

Education

High School Diploma or Equivalent

Tools

Microsoft Word

Outlook

Excel

10 Key Calculator

Job description

Job DetailsJob Location: Casa Grande Office - Casa Grande, AZ 85122 Position Type: Full Time Education Level: High School Travel Percentage: None Job Shift: Day Job Category: Admin - Clerical

About Us

Since 1974, Associated Retina Consultants has an experienced team of Arizona eye specialists to diagnose and treat your vision problem. Our focus is on the retina, macula, and the vitreous humor in the eye. We work hard every day to protect and save our patients vision, helping them lead better quality lives.

Position Summary

We are looking for an organized, efficient Medical Billing Specialist with an eye for detail and high level of accuracy. The Billing Specialist is responsible for posting insurance payments, entering charges, and assisting patients with their accounts. Position requires accuracy, thoroughness, and a good understanding of insurance procedures for referrals, co-pays, deductibles, allowable, CPT codes and Dx codes.

Responsibilities

• Work with personal information and maintain patient confidentiality


• Weekly and monthly reporting to executive director and billing supervisor.


• Verify the accuracy of all claims before submission and ensure all claims are submitted with a goal of zero errors and review claims and claims denials to ensure maximum reimbursement for services provided.


• Utilize monthly aging accounts receivable reports for follow-up on unpaid claims aged over 30 days.


• Review referrals and authorizations


• Respond to questions and complaints from patients or insurance companies


• Research and appeal denied claims.


• Read and interpret insurance explanation of benefits and respond to inquiries from insurance companies, patients, and providers.


• Other responsibilities as judgment or necessity dictate.


• Meet defined department goals and activity metrics.


• Initiate late payment notices to relevant parties


• Identify and bill secondary and/or third-party insurances.


• Follow set billing processes and procedures and follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO.


• Ensure patient information is accurate and complete and request any missing patient information.


• Create both paper and electronic copies of documentation


• Collect delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.

QualificationsEducation and Experience

• High School Diploma or Equivalent required.


• 2+ years medical billing experience preferred.


• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.


• Proficient in Microsoft Word, Outlook, Excel, and 10 key calculators.


• Basic knowledge of medical terminology, including CPT/ICD-10 coding.


• Effective communication abilities for phone contacts with insurance payers to resolve issues.


• Knowledge of medical terminology likely to be encountered in medical claims


• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Skills

• Planning and organizing


• Attention to detail, accuracy, and efficiency


• Problem-solving


• Teamwork


• Multitasking


• Customer service


• Electronic Medical Records (EMR)


• Communication skills - verbal and written


• Integrity

Benefits

• Medical, Dental, Vision, Life Insurance, Disability Insurance, Paid Holidays, Vacation and Sick Time and much more.

Physical Requirements

• Prolonged periods sitting at a desk and working on a computer.


• Must be able to lift up to 15 pounds at times.

In office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.

The Company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employees ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the Company reserves the right to change this job description and/or assign tasks for the employee to perform, as the Company may deem appropriate.

Associated Retina Consultants is an Equal Opportunity Employer.