Billing Specialist

Duties/Responsibilities • Reviews and processes patient statements for multiple locations. • Process refund requests and post refunds into the system. • Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and can independently take appropriate next steps to resolve issues. • Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner. • Research difficult ERAs/EOBs. • Research open accounts receivables, resolves claims errors and reprocesses claims for successful payment. • Maintains integrity of patient ledgers, following guidelines provided to manage balances. • Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation of benefits. • Answers incoming questions from patients and clinic team members regarding open account balances and billing issues. • Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations. • Acts as a liaison and provides excellent customer support to teammates in our optometry practices. • Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand our business. • All other duties as assigned.