Ophthalmic Billing & Collections Specialist

Paylocity; Arcadia (CA); On-site; USD 48,000 - 66,000; Full time

Job summary

Paylocity is seeking a Billing Associate in Arcadia, CA to manage patient financial services and self-pay accounts. You will contact payors, resolve claim denials, and maintain detailed documentation while collaborating with clinical staff and insurance representatives.

The role requires 2+ years of related billing experience, knowledge of medical office operations, and proficiency with MS Office and CareCloud.

Qualifications

• At least 2 or more years of related work experience.
• Operational management knowledge of medical offices.
• Equivalent to high school diploma or GED.

Responsibilities

• Responsible for all aspects of follow up and collections, including making telephone calls and accessing payer websites.
• Identify trends and perform root cause analysis on unpaid and underpaid claims.
• Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor.
• Initiate telephone or letter contact to patients to obtain additional information as needed.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Develop and maintain positive working relationships with clinical personnel, co-workers, and insurance representatives.
• Maintains an appropriate professional appearance and demeanor in accordance with Company policies.
• Keep commitments and keep direct supervisor informed of work progress, timetables, and issues.
• Maintain strict compliance with State, Federal and other regulations (e.g., OSHA, WC, HIPAA, ADA, FEHA, DOL, HR policies and practices).
• Other duties as assigned by management.

Skills

Customer service

Detail oriented

Multitasking

Communication

Education

High school diploma or GED

Tools

MS Office Suite

CareCloud

Payer portals

Job description

Paylocity is seeking a Billing Associate in Arcadia, CA to manage patient financial services and self-pay accounts. You will contact payors, resolve claim denials, and maintain detailed documentation while collaborating with clinical staff and insurance representatives.

The role requires 2+ years of related billing experience, knowledge of medical office operations, and proficiency with MS Office and CareCloud.