Ophthalmology Medical Biller & Coder
About The Position
Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician-led specialty practice. Experience with Athena Practice Management System is preferred.
Requirements
- 1+ year ophthalmology or medical billing experience preferred
- Strong knowledge of CPT, ICD-10, and insurance billing procedures
- Familiarity with Medicare, Medicaid, and commercial payers
- Experience using Athena Practice Management System preferred
- Strong attention to detail and accuracy
- Excellent communication and organizational skills
- Reliable transportation
- Flexible team player willing to assist where needed
Nice To Haves
- Experience with Athena Practice Management System is preferred
Responsibilities
- Understand insurance policy guidelines including COB, referrals, prior authorizations, and insurance portals
- Knowledge of Medicare, Medicaid, and commercial payer billing rules and regulations
- Communicate with insurance companies to resolve claim issues
- Accurate charge entry and data entry
- Apply appropriate ICD-10 and CPT coding guidelines
- Maintain compliance with current coding initiatives and payer policies
- Submit electronic and paper claims
- Review and follow up on denied, incorrect, or unpaid claims
- Submit corrected claims, reconsiderations, and appeals
- Work insurance and patient delinquent accounts
- Monitor aging reports
- Assist in creating or using daily, weekly, monthly, and annual reports
- Answer billing questions from patients, team members, and insurance companies
- Maintain professional communication with patients and staff
- Assist with front desk responsibilities or workflow support when needed
Benefits
- Competitive salary
- Dental insurance
- Flexible schedule
- Free food & snacks
- Free uniforms
- Health insurance
- Paid time off
- Training & development
- Tuition assistance
- Vision insurance
- Paid holidays
- Simple IRA with 3% employer match
- Profit sharing opportunities
- Uniforms provided
- Free lunches provided in the office
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
