Medical Billing Specialist

Ophthalmic Consultants of Boston • Plymouth, MA

7d • $22 - $34 • Onsite

About The Position

Join the Front Line of Patient Financial Care at Ophthalmic Consultants of Boston. Are you confident discussing insurance, skilled at navigating surgical authorizations, and passionate about helping patients understand their financial responsibility? We’re looking for a knowledgeable, patient-focused professional who thrives in a fast-paced environment and isn’t afraid of high call volumes or complex insurance scenarios. This isn’t just a billing role — it’s a critical position that ensures patients feel informed, prepared, and supported before their visit or surgery.

Requirements

• 3–5 years of experience in medical billing, insurance verification, or healthcare financial counseling
• Proven experience securing surgical prior authorizations
• Strong knowledge of surgical claims and insurance coverage policies
• Confidence in discussing out-of-pocket costs and collecting payments
• Ability to multitask and pivot quickly in a high-volume call center environment
• Exceptional attention to detail and organization
• Professional, empathetic communication skills for sensitive financial conversations

Responsibilities

• Serve as a key liaison between patients and insurance carriers, ensuring clarity, accuracy, and timely collections.
• Verify and interpret deductibles, copays, coinsurance, and out-of-pocket maximums.
• Secure prior authorizations for surgical and specialty procedures.
• Confirm eligibility and surgical claim coverage directly with insurance carriers.
• Provide accurate cost estimates for visits, procedures, and surgeries.
• Clearly explain insurance benefits and projected out-of-pocket expenses.
• Set confident, professional expectations regarding payment due at time of service.
• Discuss outstanding balances and collect payments.
• Assist patients with billing statements and claim questions.
• Manage high volumes of insurance claims and daily inbound/outbound calls.
• Accurately document benefit verifications and patient communications.
• Support front desk and billing operations in a high-demand setting.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed