Medical Biller (Long Term Temporary)

Simply Great Staffing•Kent, WA

10d•$22 - $24•Onsite

About The Position

Simply Great Staffing is seeking a detail-oriented Medical Biller with hands-on optometry coding experience to support end-to-end revenue cycle activities—submitting clean claims, managing accounts receivable, driving denial resolution/appeals, and assisting with patient scheduling and occasional phone reception. The ideal candidate thrives in a fast-paced clinic environment, understands Medicare Advantage payer policies, and consistently delivers high first-pass claim acceptance rates.

Requirements

Direct experience coding optometry services and submitting optometry claims.
Demonstrated denials/appeals success with commercial and Medicare Advantage plans.
Proficiency with medical billing software, clearinghouses, and payer portals.
Working knowledge of ICD-10-CM, CPT, HCPCS , modifiers, and common optometry documentation requirements.
Strong Excel/Google Sheets skills for aging reports and KPI tracking.
Excellent communication (written/verbal) and customer-service mindset.

Nice To Haves

Experience with optometry/ophthalmology EHR & PM systems (e.g., Eyefinity/OfficeMate, RevolutionEHR, Compulink , or similar).
Familiarity with Epic, NextGen, Athena , or other enterprise platforms.
Prior work in a high-volume clinic with multi-payer A/R.
Bilingual skills are beneficial for patient financial communications.

Responsibilities

Accurately code optometry encounters using ICD-10-CM, CPT, and HCPCS guidelines (e.g., comprehensive/ intermediate eye exam codes, diagnostic imaging, treatments).
Review provider documentation for completeness; query clinicians to resolve discrepancies before submission.
Post charges, modifiers, place of service, and attach required documentation (e.g., authorization, medical necessity).
Prepare and submit electronic claims via clearinghouse and payer portals; monitor rejections and correct within service-level timelines.
Perform daily reconciliation of batches/EOBs/ERAs, post payments, adjustments, and balance transfers.
Work aged A/R (0–30/31–60/61–90/90+ day buckets) to reduce days outstanding.
Investigate denials (eligibility, coordination of benefits, prior auth, medical necessity, bundling, NCCI edits, modifier issues) and file timely, well-supported appeals.
Track trends by payer and reason code; recommend preventive fixes (coding edits, documentation prompts, front-end eligibility checks).
Verify eligibility, benefits, and plan specifics; confirm authorizations/referrals; apply MA billing rules (e.g., network requirements, cost-share, pre-certs).
Adjust workflows to payer-specific guidelines; maintain current knowledge of MA updates impacting optometry services.
Schedule/confirm patient visits; coordinate recalls; reschedule as needed to optimize provider and diagnostic slots.
Answer inbound calls, route messages, provide billing explanations, and take payments professionally and empathetically.
Maintain HIPAA privacy/security standards, safeguard PHI in all workflows.
Follow clinic policies, federal/state regulations, and payer contracts; maintain accurate audit-ready records.