Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and over 150 staff serving patients across the state of Delaware, Pennsylvania and Maryland. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff.

As a Medical Billing Specialist, you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements.

What You'll Do:

Review, prepare, and transmit claims using electronic and paper claim processing
Daily submission of claims
Follow up on unpaid claims meeting the standard billing cycle time frame
Post insurance payments and review for accuracy
Contact insurance companies in regards to discrepancies
Investigate and appeal denied claims
Identify and resolve billing issues
Continual account review monitoring insurance trends and report findings to manager
Ability to work autonomously, self starter
Effective communication skills and ability to work collaboratively in a team environment
Have strong organizational skills and manage time well
Must maintain HIPAA confidentiality of patients
Additional tasks as requested

What You'll Need:

Two plus years of medical / healthcare billing experience required.
Knowledge of Medical and Optometric insurance claim forms including ICD10 and CPT codes.
Experience reading and understanding explanation of benefits and the contractual adjustments.
Strong initiative to solve problems while paying close attention to detail.
Ability to work in office

Learn more about this Employer on their Career Site

Medical Billing Specialist