Ophthalmic Insurance and Billing Specialist

Piedmont Eye Associates - Spartanburg, SC

Job Requirements:

  • Excellent communication skills, written and oral 
  • Strong organizational skills with attention to detail 
  • Excellent follow-up skills and initiative to complete projects 
  • Ability to work well with staff members at all levels of the practice in a cooperative, team-oriented manner 
  • Ability to handle patient phone calls compassionately and efficiently 
  • Follow established practice policies and procedures 

Job Duties:

  1. Reconcile and write up deposits
  2. Review appointments to check if insurance referrals are needed
  3. Run eligibility reports
  4. Check individual websites for eligibility for those not completed automatically
  5. Post insurance payments
  6. Talk with patients about accounts
  7. Print and send patient budget letters
  8. Upload patient statements to Clearinghouse
  9. Write up credit card info 
  10. Work Insurance tracking report r
  11. Handle insurance credentialing
  12. Reconcile month end reports for all physicians
  13. Scan and file patient paperwork into Nextgen
  14. Generate and prepare RHP report
  15. Prepare refund report and write refund checks
  16. Speak with insurance companies concerning claims
  17. Post daily charges and payments
  18. Post surgeries in EMR
  19. Code surgeries/procedures
  20. Work Rejected Claims
  21. Transfer patients to in-house debt and GLA Collections
  22. Travel to bank and post office when needed
  23. Performs other duties as required or assigned

Education and Experience:

  • High school diploma or equivalent.
  • Minimum two years experience in medical practice billing and coding

Qualified and interested candidates should submit resumes to ggreene@piedmonteyeassoc.com.

Piedmont Eye Associates

Piedmont Eye Associates

Spartanburg, SC