Medical Billing Specialist

Eye Center of Texas has 6 Board Certified Ophthalmologists and 8 Therapeutic Optometrist with 6 locations. Our nationally renowned physicians, combined with the most advanced medical technology, gives us the opportunity to offer our patients the highest caliber of care. We offer comprehensive medical and surgical care, including laser cataract surgery, LASIK, vision correction, glaucoma, retina and vitreous disease treatments and more.

We are actively recruiting a Medical Billing Specialist to join our growing team at Eye Center of Texas.

If you wish to join a growing team with favorable benefits and perks, while contributing to a best in class organization, please apply with your resume.

Overall the incumbent will be responsible for the company’s third-party medical claims processing and assisting patients and office staff with questions on insurance claims,authorizations, statements, and other billing issues. This position will prepare, submit and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation.

Files and processes primary and secondary third-party medical claims.
Verifies all the information for claims processing is complete and accurate.
Contacts the appropriate person to obtain missing or unclear billing information.
Follows-up by website and/or telephone on all unpaid and denied claims to determine next course of action, which may require re-billing missing claims, denied claims or sending additional information on pending claims.
Sends appeal letters to insurance companies.
Obtains authorizations when needed.
Identifies and corrects charge entry/ billing errors.
Provides proper documentation to insurance companies.
Handles insurance company questions, complaints, and/or problems.
Responds to and interacts with patients concerning all aspects of billing through phone, e-mail or regular mail in a prompt and courteous manner.
Documents all actions and maintains permanent records of patient accounts.
Assists with answering phones, screening calls and following-upon messages.
Works with management on patient billing and insurance issues.
Processes refunds to patients and insurance companies.
Works with outside programs (i.e., co-pay assistance) to ensure proper payment.
Communicates with front office staff in order to attempt to collect any outstanding patient balances.
Minimum of two (2) years Medical Insurance/Healthcare Billing and Collections experience in a medical practice or health system. Six months of previous customer service experience preferred.
Prior experience with an electronic medical record system required.
Working knowledge of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; and strong knowledge of Federal payer regulations.
Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
Ability to handle sensitive and confidential information in a professional manner.
Maintains knowledge of coordination of benefits requirements and processes.
Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
Self-motivated with strong organizational skills and superior attention to detail.
Ability to review documents for accuracy and reasonability
Ability to work well under pressure.
Ability to multi-task, set priorities and follow through without direct supervision.
Effectively communicate with physicians, patients, insurers,colleagues and staff.
Intermediate computer skills including Microsoft Office;especially Word, Excel, and PowerPoint.
Knowledge of policies and procedures to accurately answer questions from internal and external customers.
Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
Exercises sound judgment in responding to inquiries; understands when to route inquiries
Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams

Eye Center of Texas offers a competitive benefits package to its employees

Medical
Dental
Vision
401k w/ Match
HSA/FSA
Telemedicine
Generous PTO Package
Paid Holidays

Eye Center of Texas also offers the following benefits for FREE

Employee Discounts and Perks
Employee Assistance Program
Group Life/AD&D
Short Term Disability Insurance
Long Term Disability Insurance

Eye Center of Texas, an affiliate of EyeSouth Partners, is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.