Ophthalmology Medical Biller & Coder

Carolinamacular; Mount Pleasant, Northern (SC, KY); Hybrid; USD 28,000 - 34,000; Full time

Benefits offered by this job

Dental insurance

Flexible schedule

Free food & snacks

Free uniforms

Health insurance

Paid time off

Training & development

Tuition assistance

Vision insurance

Monday through Friday schedule

No weekends

Paid holidays

Simple IRA with 3% employer match

Profit sharing opportunities

Uniforms provided

Free lunches provided in the office

Supportive small team environment

Job summary

Carolinamacular in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our ophthalmology retina practice. This role supports accurate coding, timely claims submission, and payer follow-up in a fast-paced healthcare environment.

Ideal candidates have ophthalmology or medical billing experience, and familiarity with Athena Practice Management System. We offer stable hours, a supportive team, and opportunities to expand skills in a physician-led specialty.

Qualifications

• 1+ year ophthalmology or medical billing experience preferred.
• Strong knowledge of CPT, ICD-10, and insurance billing procedures.
• Experience using Athena Practice Management System preferred.

Responsibilities

• Submit electronic and paper claims and follow up on denied, incorrect, or unpaid claims.
• Accurate charge entry and data entry; apply ICD-10 and CPT coding guidelines.
• Monitor aging reports and assist in creating daily, weekly, monthly and annual reports.
• Answer billing questions from patients, team members and insurance companies; maintain professional communication.

Skills

ophthalmology billing

CPT ICD-10 knowledge

Athena Practice Management

attention to detail

communication skills

organization

reliable transportation

team player

Tools

Athena Practice Management System

Job description

Benefits

• Competitive salary
• Dental insurance
• Flexible schedule
• Free food & snacks
• Free uniforms
• Health insurance
• Paid time off
• Training & development
• Tuition assistance
• Vision insurance

Pay

$20.00 - $25.00 per hour

Job description

Located in Mount Pleasant, SC

$20–$25 per hour

Full-Time | No Weekends

Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization.

You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician-led specialty practice.

Experience with Athena Practice Management System is preferred.

Responsibilities

Insurance & Payer Knowledge

• Understand insurance policy guidelines including COB, referrals, prior authorizations, and insurance portals
• Knowledge of Medicare, Medicaid, and commercial payer billing rules and regulations
• Communicate with insurance companies to resolve claim issues

Charge Entry & Coding

• Accurate charge entry and data entry
• Apply appropriate ICD-10 and CPT coding guidelines
• Maintain compliance with current coding initiatives and payer policies

Claims Processing

• Submit electronic and paper claims
• Review and follow up on denied, incorrect, or unpaid claims
• Submit corrected claims, reconsiderations, and appeals

Accounts & Reporting

• Work insurance and patient delinquent accounts
• Monitor aging reports
• Assist in creating or using daily, weekly, monthly, and annual reports

Customer Service & Team Support

• Answer billing questions from patients, team members, and insurance companies
• Maintain professional communication with patients and staff
• Assist with front desk responsibilities or workflow support when needed

Qualifications

• 1+ year ophthalmology or medical billing experience preferred
• Strong knowledge of CPT, ICD-10, and insurance billing procedures
• Familiarity with Medicare, Medicaid, and commercial payers
• Experience using Athena Practice Management System preferred
• Strong attention to detail and accuracy
• Excellent communication and organizational skills
• Reliable transportation
• Flexible team player willing to assist where needed

Compensation

• $20–$25/hour depending on experience
• Opportunities for performance-based pay increases and skill development

Benefits

• Monday through Friday schedule
• No weekends
• Paid time off (PTO)
• Paid holidays
• Simple IRA with 3% employer match
• Profit sharing opportunities
• Health, dental, and vision insurance
• Uniforms provided
• Free lunches provided in the office
• Supportive small team environment

Schedule

Full-time preferred (5 days/week).

Location

Mount Pleasant, SC

Job Type

Full-time / in person. Not a remote role.

Application Question(s)

• Do you have ophthalmology or optometry billing experience?
• How many years of medical billing experience do you have?
• How comfortable are you with CPT and ICD-10 coding?
• Have you used Athena Practice Management System before?

Work Location: In person