Ophthalmology Billing Specialist

Azul Vision; Chino (CA); On-site; USD 32,000 - 33,000; Full time

Job summary

Azul Vision is seeking a Billing Associate in Chino, CA to manage patient billing, submit claims, verify eligibility, and work with insurers. This full-time role requires at least one year of ophthalmology/optometry billing experience and proficiency with NexGen EPM and EMR.

Responsibilities include posting payments, coordinating with patients on payment plans, and ensuring accuracy in account reconciliation while delivering courteous customer service.

Qualifications

• Billing: 1 year (Required) Ophthalmology/Optometry preferred
• Proficiency in Microsoft Office, NexGen EPM and EMR.
• Strong organizational skills with attention to detail
• Knowledge in modifiers and CCI edits
• Experience with Medicare, Medi-Cal, W/C, PPO, HMO and Vision Plans
• Spanish-speaking a plus

Responsibilities

• Prepares and submits clean paper/electronic claims.
• Verifies patients benefits and eligibilities and obtains appropriate authorizations when necessary.
• Perform various collection actions including contacting, correcting, and re-submitting denials and correspondences from insurances companies.
• Files appeals as appropriate.
• Bills secondary carriers and/or patients for amounts owed by said party per primary insurers payment.
• Processes and reviews patients delinquent accounts weekly by mailing statements and/or calls.
• Identifies and resolves patient billing complaints courteously.
• Posts payments to accounts accurately and timely.
• Contacts insurance companies on payment discrepancies; underpaid, overpaid, unknown checks.

Skills

Attention to detail

Excellent communication

Strong organizational skills

Tools

NexGen EPM

EMR

Microsoft Office

Job description

Azul Vision is seeking a Billing Associate in Chino, CA to manage patient billing, submit claims, verify eligibility, and work with insurers. This full-time role requires at least one year of ophthalmology/optometry billing experience and proficiency with NexGen EPM and EMR.

Responsibilities include posting payments, coordinating with patients on payment plans, and ensuring accuracy in account reconciliation while delivering courteous customer service.