Ophthalmology Medical Billing Specialist

American Vision Partners; Phoenix (AZ); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical and dental insurance

Eye care discounts

Continuing education funds

401(k)

Paid holidays

PTO

Sick Time

Job summary

American Vision Partners is seeking a Medical Billing Specialist to ensure accurate charge capture, proper coding, and timely reimbursement. You will partner with service lines and IT to fix issues and improve revenue cycle workflows across AVP practices.

The role requires 5 years of medical billing experience (ophthalmology preferred), CPC-A/CPC certification a plus, and strong analytical, numeric, and communication skills.

Qualifications

• 5 years medical billing experience preferred.
• Ophthalmology background desired but not required.
• CPC-A or CPC Certification preferred.

Responsibilities

• Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.
• Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems.
• Perform root cause analyses when warranted by continuous trends to pinpoint areas, process gaps and remediate trends of charge leakage or overcharges.
• Review denial trends for documentation or charging issue opportunities.
• Interact with clinical departments to obtain additional information needed to properly bill accounts based on medical records.
• Identify charging, coding, or clinical documentation issues and work with clinical departments to resolve issues.
• Analyzes business processes to identify inefficiencies and makes recommendations to improve procedures and reimbursement.
• Assists with developing departmental program planning, strategy, and goals for increased revenue reimbursement.

Skills

Revenue Cycle Management

CMS guidelines

Coding policies

Analytical skills

Customer service

HIPAA compliance

Detail-oriented

Communication skills

Education

High School diploma or equivalent

Job description

American Vision Partners is seeking a Medical Billing Specialist to ensure accurate charge capture, proper coding, and timely reimbursement. You will partner with service lines and IT to fix issues and improve revenue cycle workflows across AVP practices.

The role requires 5 years of medical billing experience (ophthalmology preferred), CPC-A/CPC certification a plus, and strong analytical, numeric, and communication skills.