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Job description
At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients' lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values.
Unifeye Vision Partners is currently hiring for a full-time Medical Billing (AR) Specialist. This position is fully remote. Ophthalmology billing experience is preferred.
SUMMARY
The Medical Billing (AR) Specialist at UVP plays a vital role in the revenue cycle process by ensuring accurate and timely submission of medical claims, working denials, and supporting the financial health of the organization. This individual will work closely with clinical and administrative teams to ensure billing accuracy and compliance with payer requirements. Starting pay for the position is $ /hour.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Prepare and submit professional and/or institutional medical claims to payers electronically or via paper when necessary
Review patient accounts for accuracy, completeness, and compliance with regulatory and contractual guidelines
Troubleshoot claim rejections, denials, or unpaid claims while working with third party payers as well as patients to resolve the billing. This includes submitting corrected claims and creating appeal letters in a timely manner
Analyze reimbursement audits to ensure transaction processing accuracy according to payer contracts.
Processing correspondence and filing in a timely manner
Post payments and adjustments as needed; work with payment posters when discrepancies arise
Collaborate with coding, front office, patients, and other departments to resolve billing issues
Communicate effectively with insurance payers, patients, and colleagues via phone and written correspondence
Provide customer service while addressing patient billing calls; resolves issues to meet patient needs or requirements in a timely and proactive manner
Ensure all billing activities are HIPAA-compliant and follow internal policies
Maintain up-to-date knowledge of payor guidelines, coding changes, and billing regulations
Participate in team meetings, trainings, and process improvement initiatives
Support audits and provide documentation when requested
Other duties as assigned
EDUCATION AND/OR EXPERIENCE High school diploma or equivalent required; Associate degree or certification in medical billing/coding preferred
2+ years of medical billing experience in a healthcare setting (ophthalmology or specialty care experience a plus)
Strong understanding of CPT, ICD-10, and HCPCS coding systems
Experience with electronic health records (EHRs) and billing software; knowledge of systems like NextGen, Nextech, Trizetto, or similar is beneficial
Familiarity with payor portals, including Medicare, Medicaid, and commercial insurers
Excellent organizational and communication skills
Detail-oriented with a commitment to accuracy and compliance
Ability to work independently and manage multiple tasks efficiently
BENEFITS Health Insurance (medical, dental, vision, HSA)
Paid Time Off (PTO)
Holiday Pay
401K Retirement Savings Plan
Other Benefits: Accident, Hospital Indemnity, Critical Illness, Life/AD&D, Disability, Commuter, Dependent Care, Adoption & Surrogate, Pet Insurance
Employee Assistance Program
Employee Discounts
Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.