Billing Specialist

Duties/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, charge backs, adjustments and remark codes in a timely and accurate manner. • Research difficult ERAs/EOBs. • Research 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 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 strong rapport, and understand our business. • All other duties as assigned. Required Skills/Abilities • 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. Additional Desired Experience • 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 Requirements • Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound. • Hand dexterity and eye and hand coordination is critical. • Lifting. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Use of one or both arms and wrists in lifting files, documents, etc. on a frequent basis. • Sitting. Must be able to sit for long periods of time. • Standing. Particularly for sustained periods of time. • Talking. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately or quickly. • Travel as needed between practices. • Required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned or to make general observations of structures. Must be able to read a computer screen for long periods of time. • Walking. Moving about on foot to accomplish tasks, particularly for long distances or moving from one workstation to another.

Created: 2026-03-10