Medical Billing Specialist - Full Time

The Retina Group of Florida is a multi-physician, multi-office, and growing ophthalmology practice specializing in diseases of the retina. We are currently seeking a full-time Medical Charge Entry Specialist to join our team. The Retina Group of Florida prides itself on first-class patient care, a rewarding work environment, and creating pathways for employee growth. The position is full-time with excellent benefits. We are currently seeking a Medical Billing Specialist who thrives in a meticulous environment and who understands the importance of accurate billing, reimbursement, and collection processes to result in a clean claim submission. Job Summary This position plays a fundamental role in aiding our billing/reimbursement team with the company's revenue stream to ensure that compliance with payer requirements is met and maintained.

Responsibilities:

Handle daily billing activities to ensure that claims are submitted, electronically or on

HCFA 1500

form, accurately. Generate and analyze billing reports to optimize revenue collection. Responsible for learning, understanding and following payer guidelines. Notifying management of payer policy changes. Ensuring appropriate information is submitted to insurance companies in order to expedite payment. Handle incoming calls for information requests from insurance companies and patients. Works to understand the operative notes that dictate procedures billed. Reallocate misapplied payments and adjustments. Work on special assignments when needed. Utilizes the coding resources (CPT, ICD-10, CDR, AAOS books) to understand procedures that are denied. Document accounts correctly. Participate in a billing and collection-related meeting to discuss new and ongoing account resolution. Set up payment plans on self-pay accounts. Review daily drug posting. Correct posting errors. Follow the Medical Record Release policy. Adhere to OSHA, IPAA, and security protocols.

Support RGF's Mission Statement Qualification & Requirements:

Minimal 2 years' experience Excellent communication skills Knowledge of billing procedures, CPT Coding, ICD 10, Claims scrubbing, Encoder Pro, and collection techniques An exceptional understanding of AR processes, third-party payers, and CMS regulations The ability to read and understand LCD, payer guidelines, and EOBs. Experience using medical billing software. Ability to prioritize tasks properly. Excellent verbal and written communication skills. Knowledge of Practice + and Nextgen is a plus. Ability to answer multi-line telephones. Ability to work both in a team environment and independently.

Job Type:

Full-time Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person