Job Description

Retina Consultants, LLC is Hiring a Skilled Billing Specialist

We are seeking a driven and knowledgeable candidate to lead our billing department-someone who can advocate for best practices, conduct in-depth research, and investigate current industry-standard billing policies and procedures. The ideal candidate will stay current with evolving billing practices to ensure ongoing accuracy, efficiency, and compliance.

This position is on-site only with no remote work available.

Key Responsibilities:

• Accurately submit claims to insurance companies, Medicare, and Medicaid.
• Review and correct claim denials, rejections, and underpayments.
• Follow up on outstanding claims and ensure timely reimbursement.
• Post payments and adjustments to patient accounts.
• Verify patient insurance eligibility and benefits.
• Communicate with insurance companies, patients, and providers to resolve billing inquiries.
• Maintain compliance with HIPAA, payer policies, and industry regulations.
• Assist with month-end reconciliation and reporting as needed.

Qualifications & Skills:

• Minimum 2 years of medical billing experience (retina/ophthalmology experience a plus).
• Knowledge of ICD-10, CPT, and HCPCS coding .
• Familiarity with EHR/PM systems (experience with NextGen is preferred).
• Strong understanding of insurance guidelines , including Medicare, Medicaid, and commercial payers.
• Proficiency in Microsoft Office (Excel, Word, Outlook) .
• Excellent communication and problem-solving skills.
• Ability to work independently and as part of a team.

Benefits:

• Competitive salary based on experience.
• Health, dental, and vision insurance.
• 401(k).
• Paid time off and holidays.
• Professional development opportunities.

Location: Retina Consultants, LLC

We look forward to meeting you!

At Retina Consultants, we specialize in the medical and surgical treatment and management of all systemic types of vitreo-retinal diseases. All of our physicians are Board Certified and Fellowship-trained medical and surgical retina specialists. Some of the vitreo-retinal diseases that we specialize in diagnosing and treating are:
Retinal tears and detachments,
Vitreous detachment,
Diabetic retinopathy,
Macular hole, macular pucker,
Age-related macular degeneration.

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