Wisconsin Eye Consultants is seeking a detail-oriented and motivated Medical Billing Specialist to support our revenue cycle operations. Experience in optometry or ophthalmology billing is preferred, but we are willing to train the right candidate who is eager to learn and grow in the field of medical billing. Position Overview The Medical Billing Specialist is responsible for supporting the daily operations of the revenue cycle by managing claim submission, payment posting, accounts receivable follow-up, denial resolution, and patient billing support. This role ensures accurate and timely reimbursement by maintaining strong billing practices, resolving account issues, and following payer requirements. The Medical Billing Specialist works collaboratively with the Revenue Cycle Manager, providers, clinical teams, administrative staff, patients, and insurance carriers to support the financial health of the practice and provide an excellent patient financial experience.

Responsibilities:

Manage daily revenue cycle activities including claim submission, payment posting, accounts receivable follow-up, denial resolution, and patient account management. Review claims, charges, documentation, and billing information for accuracy and compliance with payer requirements and billing guidelines. Submit and monitor insurance claims, follow up on unpaid or delayed claims, and communicate with insurance carriers to resolve outstanding issues. Post insurance payments, patient payments, adjustments, and remittance information accurately while maintaining accurate account balances. Reconcile payment activity, identify billing discrepancies, and resolve posting errors or account issues. Review and resolve denied, rejected, and unpaid claims by researching payer requirements, documentation, and claim details. Manage assigned accounts receivable by following up on outstanding insurance and patient balances to support timely reimbursement. Respond to patient billing inquiries, explain account balances and insurance processing, and assist with payment arrangements according to practice policies. Maintain accurate documentation of billing activities, payer communications, patient interactions, and account resolution efforts. Collaborate with providers, clinical teams, administrative staff, and the Revenue Cycle Manager to identify and resolve billing issues impacting reimbursement. Maintain knowledge of payer policies, reimbursement requirements, coding guidelines, and healthcare billing regulations. Support revenue cycle improvement initiatives and perform other duties as assigned. Requirements Proven experience in medical billing, coding, or medical office administration with a strong understanding of medical terminology. Familiarity with

ICD-10, CPT

coding systems, and medical coding principles. Experience working with EMR or EHR systems for claim processing and record management. Knowledge of medical collection procedures and insurance reimbursement processes. Ability to interpret complex medical records and translate them into accurate billing codes. Excellent attention to detail, organizational skills, and the ability to work independently in a fast-paced environment. Strong communication skills for effective interaction with insurance providers, healthcare professionals, and patients.

Benefits:

Paid time off

Education:

High school or equivalent (Required)

Experience:

Ophthalmology:

1 year (Preferred)

Work Location:

In person