Medical Billing Specialist

Join Our Specialized Ophthalmology Practice!

We are seeking a detail-oriented and experienced Medical Billing Specialist to join our dedicated team. In this role, you will be responsible for managing various aspects of medical billing and ensuring seamless operations within our practice.

• Title: Medical Billing Specialist
• Location: Monroeville, PA
• Position: Full-Time (Day Shift, Monday-Friday, 40 hours/week)
• Salary: $19.00 - $24.00 per hour (based on qualifications and experience)

Key Responsibilities:

- Secure prior authorizations for injectable medications

- Verify insurance eligibility prior to patient visits

- Post electronic payments, credit card payments, and cash payments

- Accurately post charges in our electronic practice management system

- Address and resolve claim denials

- Handle collections through the Medicaid portal

- Collaborate with specialty pharmacies to coordinate injectable medications

- Communicate with insurance companies to resolve any payer issues

- Answer patient inquiries regarding invoices

- Conduct internal audits comparing encounter forms to medical records in NextGen

Qualifications:

- Previous experience in medical billing, preferably within a private medical practice

- Familiarity with practice management software for posting charges and payments

- Strong attention to detail and excellent customer service skills

- Proficient verbal and written communication skills

- Good understanding of computer software

- Proficient typing skills

- NextGen experience is a plus, but not required

If you are passionate about providing exceptional service and possess the skills necessary to succeed in a fast-paced medical environment, we encourage you to apply!

To Apply: Please submit your resume! If applicable, we will give you an introductory phone call with further details.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.