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Optical Billing Associate

Key Facts

Remote From: 
Full time
English

Other Skills

  • Task Planning
  • Microsoft Word
  • Virtual Teams
  • Microsoft Excel
  • Communication
  • Teamwork
  • Basic Internet Skills
  • Detail Oriented
  • Willingness To Learn

Roles & Responsibilities

  • High school diploma or GED
  • Medical billing knowledge; CPT and ICD-10 coding; Ophthalmology experience preferred
  • Basic computer skills; experience with Excel, Word, and Teams preferred
  • Positive attitude and willingness to learn

Requirements:

  • Utilize billing systems (Nextgen, Waystar, and Clearwave) to bill insurance claims, work denials, and AR; training provided
  • Assist with patient questions concerning their bill in collaboration with the Financial Services Team
  • Make necessary changes to patient demographics and insurance information to obtain payment from primary and secondary insurers when data is inaccurate
  • Review, correct, and process charges for assigned providers or clinic; work denied claims promptly to meet KPI targets; identify denial trends and communicate with the team to address root causes

Job description

Overview:

At Vision Innovation Partners, we exist to protect and restore vision. Because Vision is our Mission, everyone at VIP focuses on providing great patient outcomes and experiences. A career at VIP provides opportunities for growth and development, and a culture centered on our Shared Values – PATIENTS. 

 

 

 

The Billing Associate is responsible for the daily acceptance of charges for their assigned providers or 
modality. They will follow the process as outlined in their training to accept, correct, investigate, and bill
charges. The Billing Associate will be responsible for the AR for the assigned modality of work. These
assignments may change as the business needs change. They will need to investigate denials, make the
necessary changes to the claim, and resubmit the claim to the payer. The Billing Associate will need to be
familiar with Nextgen tasking, Waystar workgroups, and payer websites to utilize the most efficient
manner to get a claim processed for payment. The Billing Associate will work under the direction of a
billing lead.

Responsibilities:

What You Will Do:

 

  •    Understand how to effectively utilize the systems used to bill insurance claims, work denials and
       AR. These include Nextgen, Waystar, and Clearwave - training will be provided.
    • Work with the Financial Services Team to assist with patient questions concerning their bill.
    • Make necessary changes to the patients' demographics and insurance information to obtain
       payment from the appropriate insurance company for both primary and secondary coverages if
       the information in the system is inaccurate.
    • Ability to work large numbers of claims.
    • Make corrections as needed to the patient's computer record so that future insurance claims,
    • and statements are accurate.
    • Make calls to insurance companies to understand the denial and what needs to be done to get
       the appropriate payment for the services provided.
    • Review, correct and process charges for the providers or clinic as assigned by your billing lead.
    • Work denied claims in a timely fashion so that KPI's are maintained for percentages of aged AR.
    • Communicate effectively with other billers and billing leads to identify trends in errors and denials
       so that the root cause of the denial can be addressed
Qualifications:

What You Will Bring:


• Have a positive attitude and a willingness to learn
• Must have basic computer skills
• Experience with Excel, Word and Teams is preferred
• Medical billing knowledge, CPT, ICD-10 codes A high school diploma or GED equivalent is required.         Experience in medical billing, Ophthalmology would be preferred 

 

What we offer:

     • Competitive compensation package
     • Excellent comprehensive benefits
     • 401(K)
     • Significant eye care discounts
     • Continuing education allowances
     • Career growth and development
     • PTO and holidays off

 

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

 

 

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