Technician/Optical Billing Specialist-Part Time- In ...

West Point Optical Group Company: West Point Optical Group West Point Optical Group is a Franchisee with 61 Pearle Vision franchises throughout Ohio, Indiana,Michigan, Colorado, Arizona, Pennsylvania, and Florida. The Central Billing Officesupports all locations. JOB TITLE: Optical Billing Specialist / Technician REPORTS TO: Senior Director of Practice Administration FLSA STATUS: Hourly; Non-Exempt Optical Billing Specialist General Purpose Billing Specialists responsibilities include managing client billing and ensuring procedures are billed according to contracts, reviewing and updating client statements as necessary, printing and mailing all paper and secondary claims, scanning documents to patient accounts, and reviewing correspondence and following up as needed. Main Job Tasks and ResponsibilitiesInteracts with patients, family members, external healthcare related companies, law firms, co-workers and other MH employees to resolve billing issues or concernsAssesses the nature of incoming calls and identifies and completes appropriate action in a prompt manner. Activities may include:Research specific transactions on a claimRe-send patient statementRe-bill a claimAdd or change insurance informationVerify eligibility on accountPull an explanation of insurance benefits for payment informationRequest adjustment on a claimSend itemized statementsReviews incoming patient correspondenceUnderstands all key processes in the CBO including activities related to billing, collections/follow-up, posting and customer service and how their actions impact the Revenue CycleOrganizes work/resources to accomplish objectives and meet deadlinesMaintains compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility ProgramReports issues and trends to appropriate management personnel in CBO and works collaboratively to develop solutionsConsistently demonstrates a positive and professional attitude at workMaintains stable performance under pressureand handles stress in ways to maintain relationships with patients, customers and co-workersMaintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectationsMaintains satisfactory attendance and punctuality record as set forth by Mercy Health policiesResponsible for other relevant work functions, as requestedProvides supportive assistance to patients regarding billing concerns/issuesAnswers incoming calls from patients and returns calls, addressing patient’s questions or concerns in a professional and ethical manner Specialized Knowledge/Skills:Experience with Microsoft Word and Excel preferredDemonstrate in-depth knowledge and experience in the following technology solutions; patient accounting systems, optical imaging, scanning and internet-based insurance websites.Extensive knowledge of Medicare and Medicaid regulations and other insurance guidelines preferred.Medical terminology, knowledge of insurance and reimbursement procedures preferred. Experience:Minimum of 1 -2 years Opthalmic technician experience or business office experience in a optical environment.Experience in claim follow-up in a Physician practice environment preferred.Excellent phone etiquette and internal/external customer service skills required.Ability to communicate and work with payers to get claims resolved and paid accurately Education:High School diploma required or associate degree preferredBusiness courses such as medical terminology, accounting, finance, cash applications, typing, and word processing

Created: 2026-03-04