A Billing Specialist performs administrative work at financial institutions and banks that handle bills, receipts, and invoices. Manages the status of client accounts and tracks financial records, charges, and receipts of the accounts.
This position is eligible for medical, dental, vision, and 401(k). Position Overview A growing ophthalmology organization is expanding its revenue cycle team due to the acquisition of new specialty practices. The organization is seeking experienced Medical Billing Specialists with a strong background in retina revenue cycle management to support insurance billing, accounts receivable follow-up, and denial resolution. This position is focused on insurance claims and physician billing and does not involve patient collections or payment arrangements. Key Responsibilities Manage insurance accounts receivable (AR) follow-up for physician claims Research and resolve denied or underpaid claims Prepare and submit appeals and corrected claims Review claims for billing accuracy before submission Process claim edits, payment posting, and limited charge entry Work with both commercial and government insurance payers , including Medicare Collaborate with internal billing teams to ensure accurate claim processing Maintain productivity while meeting quality and accuracy standards Support revenue cycle operations across multiple specialty practices Required Qualifications At least 1 year of retina billing experience Strong knowledge of: Retina-specific J-codes Medical billing modifiers Drug billing and reimbursement Experience with professional (physician) claims Knowledge of accounts receivable follow-up and denial management Experience working with Medicare and commercial insurance plans Strong attention to detail and problem-solving skills Preferred Qualifications Experience with Nextech, NextGen, or similar practice management systems Knowledge of charge entry and payment posting Experience with specialty ophthalmology or retina practices Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request. #HC1
