Ophthalmic Coding & Revenue Cycle Specialist

Richieeyeclinic; Faribault (MN); On-site; USD 50,000 - 70,000; Full time

Job summary

Richie Eye Clinic & LASIK Center in Faribault, MN is seeking an Ophthalmic Coding & Revenue Cycle Specialist. This critical role involves ensuring accurate medical coding and insurance billing, alongside responsibilities like communicating patient financial responsibilities and following up on claims. Candidates must have experience in medical insurance billing and proficiency in Microsoft Office. This position offers a hybrid work model and is available immediately.

Qualifications

• Strong attention to detail and ability to multi-task effectively.
• Previous experience in medical insurance billing or clinical settings required.
• Strong working knowledge of Microsoft Office applications, especially Excel and Word.

Responsibilities

• Calculate and communicate patient financial responsibility estimates.
• Verify patient insurance benefits and eligibility prior to services.
• Submit, track, and follow up on insurance claims.
• Analyze denials and implement corrective actions.
• Accurately assign medical codes for visits and procedures.

Skills

Attention to detail

Insurance process knowledge

Multi-tasking ability

Excel proficiency

Word proficiency

Job description

Ophthalmic Coding & Revenue Cycle Specialist

Full job description

Richie Eye Clinic & LASIK Center, is a dynamic, high-volume clinical and surgical practice featuring a team of three ophthalmologists and five optometrists, complemented by a modern, fashion-forward optical boutique. We are seeking a detail-oriented and experienced Ophthalmic Coding & Revenue Cycle Specialist to join our team! At Richie Eye Clinic & LASIK Center, our team of doctors and staff have passion for what they do and are dedicated to making a difference!

Here are some of the key functions of the role:

• Calculate and communicate patient financial responsibility estimates, including deductibles, co-insurance, and co-pays for office visits and surgical procedures
• Verify patient insurance benefits and eligibility prior to services
• Submit, track, and follow up on insurance claims to ensure timely and accurate reimbursement
• Analyze denials and underpayments; identify trends and implement corrective actions
• Accurately assign CPT, ICD-10, and HCPCS codes for ophthalmic office visits, procedures, and surgical services in a backup role.
• Provide strong attention to detail and appropriate follow-up with patients and team
• Have a "go-getter" attitude and team-first mindset

Are you the one?

Qualified candidates will possess strong attention to detail, ability to efficiently multi-task, and be a quick-learner. This individual will play a critical role in ensuring accurate medical coding, insurance billing, and reimbursement optimization for both clinic and surgical services. The ideal candidate will have a solid understanding of insurance processes, and the ability to calculate and communicate patient financial responsibility estimates. Candidate must have a strong working knowledge of Microsoft Office applications, specifically Excel and Word. Previous experience working with medical insurance billing or work in a clinical setting required. Position will be based in our Faribault, MN office and is eligible for a hybrid role. Candidate must have a reliable internet connection to be considered for remote work.

Position is available immediately and will remain open until filled.

Work Location: In person or hybrid remote in Faribault, MN 55021