Ophthalmology Medical Billing Specialist

Dahl Consulting; BLOOMINGTON (MN); Vor Ort; USD 33.000 - 44.000; Vollzeit

Benefits dieser Stelle

Health insurance with HSA

401(k) retirement plan

Life insurance

Paid time off

Employee discounts

Professional development assistance

Zusammenfassung

Dahl Consulting in Bloomington, MN is seeking an experienced Medical Billing Specialist to support the revenue cycle for an ophthalmology clinic. The role focuses on accurate claim submission, follow-up on denials, and ensuring timely payments.

You will verify insurance benefits, obtain prior authorizations, and assist patients with billing questions. Strong detail orientation and communication are essential for success in this collaborative environment.

Qualifikationen

• High school diploma or equivalent.
• 2+ years of medical billing experience.
• Working knowledge of medical insurance billing and claims processing.
• Knowledge of CPT and ICD-10 coding.
• Understanding of insurance benefits, medical policies, and reimbursement processes.

Aufgaben

• Prepare, review, and submit accurate medical claims to insurance carriers.
• Monitor outstanding claims and follow up on unpaid or denied claims.
• Research and resolve billing discrepancies, denials, and reimbursement issues.
• Process charges, insurance payments, patient payments, and account adjustments accurately and promptly.
• Review insurance eligibility, benefits, and coverage requirements.
• Obtain and manage prior authorizations as required.
• Communicate with insurance carriers, healthcare providers, and patients to facilitate claim resolution.
• Collaborate with scheduling, front desk, clinical, and other internal teams regarding insurance and billing questions.
• Maintain current knowledge of CPT and ICD-10 coding, payer policies, and reimbursement requirements.
• Maintain accurate documentation and support compliance with applicable billing requirements and organizational policies.
• Provide professional and compassionate assistance to patients regarding billing questions and account balances.
• Communicate billing issues, trends, and process improvement opportunities to revenue cycle and financial leadership.
• Support continuous improvement initiatives related to medical billing and revenue cycle processes.

Kenntnisse

Detail oriented

Time management

Communication skills

Customer service

Ausbildung

High school diploma or equivalent

Tools

Microsoft Office

Nextech

Jobbeschreibung

Dahl Consulting in Bloomington, MN is seeking an experienced Medical Billing Specialist to support the revenue cycle for an ophthalmology clinic. The role focuses on accurate claim submission, follow-up on denials, and ensuring timely payments.

You will verify insurance benefits, obtain prior authorizations, and assist patients with billing questions. Strong detail orientation and communication are essential for success in this collaborative environment.