Billing Specialist

Company: Total Vision

Position: Billing Specialist

Location: Total Vision Support Center – 27271 Las Ramblas, Mission Viejo, CA 92691, USA

Work set up: Onsite position | Amenable to work in Mission Viejo, CA

Duration: Full-time, Direct Hire

Pay: $18.00 to $24.00 + Exciting Benefits

Total Vision continues to expand our footprint throughout California by partnering with optometrists that align with our goals and values. Our leaders knew early on that developing strong core values was the key to our success and continued growth. These values are critical to the culture that we continue to build upon:

• Build Passionate Teams Empowered To Be The Best
• Embrace Change To Exceed Our Patients Needs
• Strengthen Relationships With Every Encounter
• Trust, Integrity, And Inclusion Is How We Lead

 We are adding to our Revenue Cycle team in our Support Center located in Mission Viejo, CA. This position is full-time with great benefits. The role will report on-site at that Support Center. 

Core duties and 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, chargebacks, adjustments, and remark codes in a timely and accurate manner.
• Researches difficult ERAs/EOBs.
• Researches 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 an 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 a strong rapport, and understand our business.

Other duties as assigned.

• This critical role requires a teammate who:
• Has excellent customer service skills.
• Presents professionally and communicates clearly.
• Embraces and aims for a paperless work environment.
• Demonstrates ability to solve problems and work as a positive member of a team.
• Is technology savvy and appreciates finding new ways to make processes easier.
• Can stay focused on projects, and can multi-task when needed.
• Brings his/her best self to work every day and can contribute positively to a team environment.
• Desires a long-term growth opportunity.

Position Requirements:

• Healthcare billing experience: 1 year (optometry preferred, but not required)
• Strong typing and data entry skills including 10-key
• Basic knowledge of Microsoft products including Excel, Word, and Outlook

Additional Desired Experience (not a requirement):

• Healthcare payment posting
• Healthcare insurance and patient collections
• Acuity Logic, Compulink, Eyefinity PM, and/or Officemate experience a plus
• Optical billing, Vision Therapy billing, Medicare & Medi-Cal billing experience a plus

Education:

• High School diploma or General Education Degree (GED)