Medical Billing Specialist

California Retina Consultants; Santa Barbara (CA); Remote; USD 45,000 - 65,000; Full time

Job summary

California Retina Consultants is seeking a Medical Billing Specialist to ensure accurate processing of medical claims. This remote role involves managing billing procedures, working closely with healthcare providers and patients, and requires strong communication skills and relevant experience.

Benefits

Medical, Vision, Dental Insurance

401K, Life Insurance

Sick, Vacation, Holiday Pay

Certification Opportunities

Qualifications

• Minimum 2 years as a Billing Specialist.
• Experience with NextGen and MDI EMR software.
• Ability to work independently and in a team.

Responsibilities

• Prepares and submits claims to insurance companies.
• Handles patient inquiries and resolves billing complaints.
• Utilizes Practice Management software for tasks.

Skills

Proficiency with NextGen

Proficiency with MDI EMR

ICD-10 codes

Excellent communication skills

Ability to multitask

Proactive work approach

Education

High School Diploma

Bachelor's preferred

Job description

Join to apply for the Medical Billing Specialist role at California Retina Consultants.

Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. This person will primarily be responsible for handling billing and invoicing procedures, working closely with healthcare providers, insurance companies, and patients to facilitate smooth financial transactions.

This is a Remote position; however, all candidates considered for this position must currently reside within Central California.

Responsibilities

1. Prepares and submits claims to insurance companies electronically or by paper.
2. Contacts insurance companies regarding unpaid claims via rebill, appeals, or phone.
3. Handles patient inquiries via phone, email, and messaging portals.
4. Resolves patient billing complaints.
5. Prepares, reviews, and sends patient statements as needed.
6. Mails contact letters to resolve outstanding claims.
7. Evaluates patient's financial status and establishes payment plans.
8. Performs collection actions, including contacting patients and resubmitting claims.
9. Utilizes Practice Management software for AR and patient tasks.
10. Participates in educational activities and staff meetings.
11. Maintains confidentiality and adheres to HIPAA regulations.
12. Performs other duties as assigned.

Requirements

About the Candidate

• Proficiency with NextGen, MDI EMR, and ICD-10 codes.
• Excellent communication skills.
• Ability to multitask and work independently or in a team.
• Proactive work approach.

Education and Experience

• High School Diploma or relevant experience; Bachelor's preferred.
• Minimum 2 years as a Billing Specialist.

About Us

California Retina Consultants (CRC) is a leading retina-only ophthalmology group committed to state-of-the-art treatments. Our physicians are highly qualified, board certified/eligible, and involved in cutting-edge research.

Benefits

• Medical, Vision, Dental Insurance
• 401K, Life Insurance
• Sick, Vacation, Holiday Pay
• Certification Opportunities

Equal Opportunity Employer

CRC is proud to promote diversity and inclusion. All offers are contingent upon background checks and drug screening.