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Billing Specialist

In United States

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Billing Specialist   

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JOB TITLE:

Billing Specialist

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Mission Viejo, 92691, CA United States

JOB DESCRIPTION:

Formed in 2018, Total Vision is a team of talented and respected eye care professionals in partnership with a management team that has expertise in leading the operations of optometry practices. Together, we have built a platform that simplifies and streamlines business operations and allows our doctors to continue to deliver outstanding patient care.

Total Vision continues to expand our footprint throughout California by partnering with optometrists that align with our goals and values. Our leaders knew early on that developing strong core values was the key to our success and continued growth. These values are critical to the culture that we continue to build upon:

  • Build Passionate Teams Empowered To Be The Best
  • Embrace Change To Exceed Our Patients Needs
  • Strengthen Relationships With Every Encounter
  • Trust, Integrity, And Inclusion Is How We Lead

     

We are adding to our Revenue Cycle team in our Support Center located in Mission Viejo, CA. This position is full-time with great benefits. The role will report on site at that Support Center. 

Core duties and 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.
  • Researches difficult ERAs/EOBs.
  • Researches 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.
  • Other duties as assigned.

     

This critical role requires a teammate who:

  • 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 everyday and can contribute positively to a team environment.
  • Desires a long-term growth opportunity.

Position Requirements:

  • Healthcare billing experience: 1 year (optometry preferred, but not required)
  • Strong typing and data entry skills including 10-key
  • Basic knowledge of Microsoft products including: Excel, Word, and Outlook

Additional Desired Experience (not a requirement):

  • 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

     

Education:

  • High School diploma or General Education Degree (GED)

Position Details

POSTED:

Sep 30, 2022

EMPLOYMENT:

INDUSTRY:

SNAPRECRUIT ID:

S16517808273712994

LOCATION:

United States

CITY:

Mission Viejo, 92691, CA

Job Origin:

OORWIN_ORGANIC_FEED

A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

Billing Specialist    Apply

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<p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Formed in 2018, Total Vision is a team of talented and respected eye care professionals in partnership with a management team that has expertise in leading the operations of optometry practices. Together, we have built a platform that simplifies and streamlines business operations and allows our doctors to continue to deliver outstanding patient care.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br style="outline:none" /> <br style="outline:none" /> </p> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Total Vision continues to expand our footprint throughout California by partnering with optometrists that align with our goals and values. Our leaders knew early on that developing strong core values was the key to our success and continued growth. These values are critical to the culture that we continue to build upon:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Build Passionate Teams Empowered To Be The Best</span></span></span></li> </ul> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Embrace Change To Exceed Our Patients Needs</span></span></span></li> </ul> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Strengthen Relationships With Every Encounter</span></span></span></li> </ul> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Trust, Integrity, And Inclusion Is How We Lead</span></span></span> <p style="padding:0px; margin-top:21px; margin-bottom:21px" xmlns="urn:schemas-microsoft-com:office:office"> </p> </li> </ul> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">We are adding to our Revenue Cycle team in our Support Center located in Mission Viejo, CA. This position is full-time with great benefits. The role will report on site at that Support Center. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b style="outline:none"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Core duties and responsibilities:</span></span></span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Reviews and processes patient statements for multiple locations.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Process refund requests and post refunds into the system.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">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.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Researches difficult ERAs/EOBs.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Researches open accounts receivables, resolves claims errors and reprocesses claims for successful payment.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Maintains integrity of patient ledgers, following guidelines provided to manage balances.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation of benefits.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Acts as a liaison and provides excellent customer support to teammates in our optometry practices.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand our business.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Other duties as assigned.</span></span></span> <p style="padding:0px; margin-top:21px; margin-bottom:21px" xmlns="urn:schemas-microsoft-com:office:office"> </p> </li> </ul> <p style="padding:0px; text-align:start; margin-top:21px; margin-bottom:21px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">This critical role requires a teammate who:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Has excellent customer service skills.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Presents professionally and communicates clearly.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Embraces and aims for a paperless work environment.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Demonstrates ability to solve problems and work as a positive member of a team.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Is technology savvy and appreciates finding new ways to make processes easier.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Can stay focused on projects, and can multi-task when needed.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Brings his/her best self to work everyday and can contribute positively to a team environment.</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Desires a long-term growth opportunity.</span></span></span></li> </ul> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b style="outline:none"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Position Requirements:</span></span></span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Healthcare billing experience: 1 year (optometry preferred, but not required)</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Strong typing and data entry skills including 10-key</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Basic knowledge of Microsoft products including: Excel, Word, and Outlook</span></span></span></li> </ul> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b style="outline:none"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Additional Desired Experience (not a requirement):</span></span></span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Healthcare payment posting</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Healthcare insurance and patient collections</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Acuity Logic, Compulink, Eyefinity PM and/or Officemate experience a plus</span></span></span></li> <li style="padding:0px; font-size:1em; line-height:normal; outline:none; color:#2d2d2d; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif">Optical billing, Vision Therapy billing, Medicare & Medi-Cal billing experience a plus</span></span></span> <p style="padding:0px; margin-top:21px; margin-bottom:21px" xmlns="urn:schemas-microsoft-com:office:office"> </p> </li> </ul> <p style="padding:0px; text-align:start; margin-top:24px; margin-bottom:24px"><span style="font-size:12px"><span style="background:white"><span style="line-height:normal"><span style="outline:none"><span style="color:#393839"><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><b style="outline:none"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">Education:</span></span></span></span></b></span></span></span></span></span></span></span></span></span></span></span></span></span></p> <ul style="outline:none; color:#393839; font-family:Arial, Helvetica, sans-serif; font-size:12px; font-style:normal; font-variant-ligatures:normal; font-weight:400; text-align:start; white-space:normal; background-color:#ffffff; text-decoration-thickness:initial; text-decoration-style:initial; text-decoration-color:initial" type="disc"> <li style="padding:0px; font-size:1em; line-height:18pt; outline:none; color:#393839; background:white"><span style="font-size:12pt"><span style="outline:none"><span style="font-family:Helvetica, sans-serif"><span style="color:#2d2d2d">High School diploma or General Education Degree (GED)</span></span></span></span></li> </ul>


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