Ophthalmology Billing & Revenue Cycle Lead

Retina Consultants, LLC; Salem (OR); On-site; USD 75,000 - 105,000; Full time

Job summary

Retina Consultants, LLC is seeking an experienced Billing Manager to lead our medical billing department and oversee the day-to-day management of the revenue cycle. This role ensures timely and accurate billing and collections while providing leadership and support to the billing team.

The ideal candidate has 5+ years in medical billing with supervisory experience, strong knowledge of CPT/ICD-10-CM, and familiarity with ophthalmology billing.

Qualifications

• Minimum of 5 years of progressive medical billing experience, with leadership or supervisory experience preferred.
• Strong understanding of the complete medical revenue cycle.
• Experience with Medicare, Medicaid, commercial insurance, prior authorizations, appeals, and denial management.
• Knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and medical coding principles.
• Experience managing accounts receivable and improving collection performance.
• Excellent analytical, organizational, and problem-solving skills.
• Ability to prioritize multiple projects and meet deadlines in a fast-paced environment.
• Strong communication and interpersonal skills.
• Experience with ophthalmology or retina billing is highly preferred.
• Experience with Nextech practice management software is a plus.

Responsibilities

• Provide leadership and daily oversight of the billing department.
• Monitor and manage all aspects of the revenue cycle, including claim submission, payment posting, denial management, appeals, and collections.
• Review and analyze accounts receivable aging and ensure timely follow-up on outstanding claims.
• Develop workflows and processes to improve billing efficiency, accuracy, and reimbursement.
• Stay current on Medicare, Medicaid, commercial insurance, and payer policy changes and ensure department compliance.
• Train, mentor, and support billing staff while fostering a collaborative team environment.
• Monitor productivity and quality metrics and identify opportunities for improvement.
• Work closely with physicians, administration, coding, and clinical staff to resolve billing and reimbursement issues.
• Assist with implementation of new billing processes, software enhancements, and workflow improvements.
• Prepare reports on key revenue cycle metrics, aging trends, denials, and collections for leadership.
• Ensure compliance with all applicable federal and state regulations and payer requirements.
• Participate in all aspects of the medical billing process, including claim submission, payment posting, denial management, accounts receivable follow-up, appeals, insurance verification, and reimbursement, while providing leadership and oversight to the billing department.

Skills

Medical billing

Leadership

Team mentoring

CPT coding

ICD-10-CM

Nextech

Tools

Nextech Practice Management

Job description

Retina Consultants, LLC is seeking an experienced Billing Manager to lead our medical billing department and oversee the day-to-day management of the revenue cycle. This role ensures timely and accurate billing and collections while providing leadership and support to the billing team.

The ideal candidate has 5+ years in medical billing with supervisory experience, strong knowledge of CPT/ICD-10-CM, and familiarity with ophthalmology billing.