Medical Billing/Coding Specialist

Louisiana Eye and Laser CenterAlexandria, LA
just now

About The Position

Our ophthalmology clinic is seeking a detail-oriented Medical Billing Specialist with a strong focus on claim submission and clean claim processing. This position is responsible for preparing, reviewing, and submitting accurate claims to insurance carriers to ensure timely reimbursement and minimal denials. The ideal candidate understands ophthalmology coding, modifiers, surgical billing, and insurance guidelines to prevent claim rejections before submission.

Requirements

  • High school diploma or GED.
  • Good verbal communication skills.
  • 1-3+ years of medical practice billing required
  • 1+ years’ experience as medical or ophthalmic billing specialist required
  • 1-3+ years’ experience with ICD-10 and CPT coding
  • Skill in computation, typing and filing.
  • Ability to make simple mathematical computations.

Nice To Haves

  • Certified Biller/Coder

Responsibilities

  • Prepare and submit electronic claims through clearinghouse systems
  • Review claims for accuracy (CPT, ICD-10, HCPCS, modifiers, demographics, authorizations)
  • Ensure proper coding for ophthalmology procedures and diagnostic testing
  • Submit surgical and office visit claims in compliance with payer guidelines
  • Identify and correct claim errors prior to submission
  • Monitor claim rejections and resolve front-end issues promptly
  • Verify insurance eligibility and authorization requirements
  • Work closely with providers and coding staff to clarify documentation
  • Maintain compliance with Medicare, Medicaid, and commercial payer regulations
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