Medical Billing Specialist East Bay Retina Consultants, Inc. - Oakland, CA 94609
Essential Duties and Responsibilities:
Responsible for obtaining authorizations and checking eligibility for the patients in several of our offices
Track high-cost drugs used in our Retina practice
Performs missed visit and aging reports
Handles tracking and billing for "babies" seen by our physician
May handle billing and posting patient visits, tests and procedures to specific insurance plans assigned
Handle appeals for insurance plans when insurance denies payment
Required to verify insurance, obtain referrals for services, and follow up on claims not paid in a timely manner.
Should be able to work with insurance companies from start to finish to see claims are paid.
Posting of encounter forms (fee slips), insurance payments and patient payments including posting electronic remittances included.
May assist by performing daily or monthly closes.
Answers phones and explains insurance EOB and billing statements to our patients.
Run reports and work with Doctor when needed to obtain any necessary information regarding accounts receivable
May assist with accounts payable, sending out payments and posting on Quickbook
Desired Skills and Abilities:
Applicant should have experience in a medical office handling insurance billing and appeals for PPO and HMO plans, Medicare and Medicare Advantage plans, as well as Covered California and mirror plans.
Applicant should be familiar with Medi-Cal plans including CCS, AAHC, and CCHP. Should be able to navigate websites for Medicare as well as other insurance plans.
Will need to be up to date on ICD-10 codes, especially as it pertains to a retina practice.
All work will be done in compliance with guidelines/regulations/updates to the Health Insurance Portability and Accountability Act (HIPAA).
Must be familiar with credentialing of physicians with insurance plans and hospitals.
Ability to relate to patients and a true desire to help them is required.
Desire to learn and stay up to date in the industry is essential.
About our company:
East Bay Retina Consultants, Inc. is a friendly, caring group of Retina Specialists (Ophthalmologists) in the East Bay. We currently have five board-certified physicians: Daniel A. Brinton, MD; Scott S. Lee, MD; Eugene S. Lit, MD; Soraya Rofagha, MD, MPH, and Jesse J. Jung, MD. The doctors of East Bay Retina Consultants, Inc. specialize in the diagnosis and treatment of diseases of the retina, macula and vitreous, including diabetic retinopathy, macular degeneration, retinal detachment, and macular holes.
We have five offices; Oakland, Concord, San Ramon, Pleasanton, and Fremont. We are typically involved in several clinical research studies in the Oakland office at any time.
Please respond by telling me why you would be an asset to our office.
Three years of previous experience handling medical office insurance billing
Excellent oral/written communication and analytical skills
Must be detail-oriented and not afraid to roll up your sleeves and work
Advanced knowledge of Microsoft Excel, medical PM software and EHR preferably AdvancedMD and MDIntellesys Nextech
Ability to meet strict deadlines and handle multiple and changing priorities in a fast-paced environment.