Billing Specialist

Ophthalmic Surgeons & Consultants of Ohio, Inc. - Columbus, OH
Posted: July 31, 2020

POSITION: Pre-Cert and Pre-Determination Specialists

DEPARTMENT: Business Office

REPORTS TO: Business Office Supervisor

JOB SUMMARY: This individual is responsible for all procedure Pre-Cert and Pre-Determination.

EDUCATION AND EXPERIENCE:

  • High School diploma or equivalent.
  • Two years minimum experience in medical office; billing and collections experience perferred.

ESSENTIAL SKILLS AND ABILITIES:

  • Excellent communication skills, written and oral.
  • Strong organization skills with attention to detail.
  • Excellent follow-up skills.
  • Management of multiple tasks simultaneously.
  • Work as a team player by demonstrating ability to work well and get along with co-workers.

RESPONSIBILITIES:

  • Responsible for all calls to insurances for pre-cert on in-office procedures.
  • Responsible for all calls to insurances for out-patient surgery for pre-determinations.
  • Responsible for all faxes and mailings to insurance for pertinent information for medical necessity.
  • Must call insurances to inquire on eligibility for surgery.
  • Contact key personnel on denials. Make sure surgery scheduler informs physician of denial.
  • Responsible for all Botox orders on patients that have to have an authorization.
  • Speaks with patients in regards to their questions they may have on their pre-cert or pre-determination.

Other Duties assigned, but not limited too:

  • Checks the mail when the Payment Poster is not available.
  • Help send out statements
  • Pull files for A/R or RX line

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Ophthalmic Surgeons & Consultants of Ohio, Inc.

Ophthalmic Surgeons & Consultants of Ohio, Inc.

Columbus, OH

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