Medical Billing/Coding/AR Specialist (Full Time, Experienced & Onsite)

Job Summary Our patient focused ophthalmology practice provides services including cataract, diagnosis and treatment of glaucoma, macular degeneration, diabetic retinopathy, corneal disease & dry eye, as well as eye health exams. We are seeking an experienced and dedicated Medical Billing, Coding, and Accounts Receivable (AR) Specialist to join our team onsite in a full-time capacity. This vital role involves managing the entire billing cycle, ensuring accurate coding, and optimizing revenue recovery. The ideal candidate will possess a strong understanding of medical billing procedures, coding systems, and AR management to support efficient financial operations within our ophthalmology office. Your expertise will directly contribute to the seamless processing of claims, collections, and medical record management, fostering positive patient and provider experiences. Responsibilities Review physician coding for accuracy of medical visits and procedures (including intravitreal injections) using CPT (Current Procedural Terminology) and ICD-10 classifications to ensure precise billing submissions. Prepare and submit clean claims electronically through EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems while adhering to payer guidelines. Follow up on unpaid or denied claims promptly by analyzing reasons for denials and resubmitting corrected claims to maximize reimbursement. Manage accounts receivable by monitoring outstanding balances, initiating collections efforts, and maintaining detailed records of all collection activities. Assist front desk in verifying patient insurance coverage, eligibility, and benefits prior to service delivery to prevent claim delays. Collaborate with clinical staff to ensure proper documentation supports coding accuracy and billing integrity. Daily tasks include generation and submission of claims, posting payments and submitting remittances, collections, accounts receivable follow-up and insurance appeals. Perform follow-up of unpaid balances, including correcting and resubmitting unpaid claims to insurance for reprocessing. Respond to questions regarding patient account balances. Monitor aged accounts receivable reports, performing follow-up, and making adjustments to patient accounts. Prepare analysis of Individual volumes, denial, and reimbursement activity. Experience Proven experience in medical billing, coding, and AR management within a healthcare setting (Ophthalmology strongly preferred). Strong knowledge of CPT coding standards along with ICD-10 coding systems for diagnosis classification. Hands-on experience with EMR/EHR systems for claim processing and record management. Understanding of medical terminology, medical records management, and healthcare compliance standards. Demonstrated ability to handle medical collections efficiently while maintaining professional communication with payers and patients. Prior experience working in a fast-paced environment requiring attention to detail and active problem-solving skills is highly preferred.

Benefits:

401(k) 401(k) matching Employee discount Health insurance Paid time off Retirement plan Vision insurance

Work Location:

In person