Join to apply for the Billing Coordinator role at Retina Consultants San Diego 4 days ago Be among the first 25 applicants Join to apply for the Billing Coordinator role at Retina Consultants San Diego Get AI-powered advice on this job and more exclusive features. Billing Specialist The Billing Specialist will play a vital role in the financial operations of our ophthalmology practice, ensuring that claims are processed efficiently and patient billing inquiries are handled with care. The role encompasses a range of tasks within the billing department, including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, reimbursement management, and authorization management. Reports to: Revenue Cycle Manager Key Responsibilities Claims Management: Work on accounts receivable (A/R), process rejected claims, and perform necessary follow-up to ensure successful claim processing. Follow up on claims using various systems, including Nextech EHR, TriZetto clearinghouse, and others. Prepare and submit clean claims to insurance companies electronically or by paper. Correct and resubmit claims to third-party payers when needed. Mail appropriate patient contact letters to resolve outstanding claims. Billing Operations Maintain contact with other departments to obtain and analyze patient information for accurate billing documentation. Respond to patient inquiries and billing concerns via phone, email, and messaging portals. Perform follow-up calls and written correspondence to patients and payers as needed. Prepare, review, and send patient statements as necessary. Authorization Management Obtain and verify insurance authorizations and pre-certifications for procedures and services. Ensure all necessary authorizations are secured prior to patient appointments and procedures. Track authorization expirations and follow up on renewals as needed. Communicate with patients and insurance companies to resolve authorization issues or delays. Customer Service & Compliance Identify and resolve patient billing complaints in a timely manner. Adhere to policies regarding safety, confidentiality, and HIPAA guidelines. Establish and maintain effective working relationships with office staff and doctors, ensuring a collaborative work environment. Qualifications And Requirements Minimum of 2+ years of experience in ophthalmology billing. Knowledge of medical terminology specific to ophthalmology. Proficiency in CPT, HCPCS, and ICD codes related to ophthalmology. High school diploma required; an associate degree is preferred. Skills Ability to work independently with minimal supervision. Strong organizational and time management skills. Detail-oriented with the ability to manage multiple tasks and meet deadlines. Strong communication skills, with the ability to effectively interact with patients and office staff. Resourceful, result-driven, and a team player. Work Environment Hybrid position with the ability to be on-site for meetings, training, or other work-related functions. Monday through Friday, 8:00 AM to 5:00 PM. Compensation Range: $23.00 – $28.00 per hour. Note: The content of this job description is intended to provide a general overview of the job's key responsibilities and qualifications. Additional responsibilities may be assigned to meet practice needs. Job Type: Full-time Pay: $23.00 - $28.00 per hour Expected hours: 40 per week Benefits 401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Schedule 8 hour shift Day shift Monday to Friday Experience ICD-10: 2 years (Required) Ability To Commute Poway, CA (Required) Work Location: Hybrid Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Retina Consultants San Diego by 2x Get notified about new Billing Coordinator jobs in Poway, CA . DEALERSHIP ACCOUNTING OFFICE $19.00 -$27.00 Accounts Receivable (AR) Accounting Specialist Chula Vista, CA $21.00-$27.00 2 months ago San Diego Metropolitan Area $31.00-$46.00 5 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Retina Consultants San Diego
...willing to be In-House Pool. This position requires a valid WI RN license. Previous experience in a similar setting is helpful (Please... ...experience in resume). Requirements for In-House Pool : two weekend shifts a month, One Major Holiday, One Minor Holiday, and either...
Fact: being a summer camp counselor is the best job in the world. Camp Timber Tops is all about the people, and we hope you'll... ...Timber Tops counselors are warm, dedicated, enthusiastic college students, teachers and coaches who come from across the United Stated...
We are so glad you are interested in joining Sutter Health!**Organization:**SMCS-Sutter Med Center - Sacramento**Position Overview... ...within an acute care specialty. Accountable for the coordination of nursing care, including direct patient care, patient/family education...
...is a Denver based role (4 days in office/1day remote). Responsibilities day to day: You will work on a wide variety of corporate finance initiatives and projects, with a heavy focus on Financial Planning & Analysis (FP&A), Treasury, and corporate-level debt facilities...
...Located on Austin's vibrant South Congress Ave., Neighborhood Sushi serves Japanese-inspired dishes in a casual & beautiful setting. The reimaged space was home to Lou Lambert s Liberty Pie & Catering, where Larry McGuire got his start 20 years ago. Neighborhood Sushi...