Ophthalmic Billing Specialist

4 weeks ago


Plymouth, Plymouth, United Kingdom Ophthalmic Consultants of Boston, Inc Full time
Authorization Billing Specialist

Ophthalmic Consultants of Boston, Inc. is seeking a skilled Authorization Billing Specialist to provide administrative and billing support to the Retina team. This role involves maintaining accurate and up-to-date knowledge of payer policies for Retina injectable medications, submitting urgent PA requests, and registering Medicare and Medicare Advantage patients with foundation copay support services.

Key Responsibilities:
  1. Maintain accurate and up-to-date understanding of payer policies for Retina injectable medications, including policy changes as they occur.
  2. Submit urgent PA requests as needed, ensuring timely and accurate processing.
  3. Register Medicare and Medicare Advantage patients with foundation copay support services, ensuring seamless billing and reimbursement.
  4. Manage and review the daily EPIC schedule, utilizing the Day in Accounts Receivable (DAR) to ensure that all scheduled retina/procedure appointments are verified for coverage, drug, authorization, and balance.
Requirements:
  1. Associate degree in Business Administration or equivalent Medical Billing Experience.
  2. Bachelor's degree preferred.
  3. 3+ years of medical billing experience, with a strong working knowledge of ICD10 and CPT coding.

Ophthalmic Consultants of Boston, Inc. offers a competitive benefits package, including a 401(k) plan and excellent medical and dental benefits. To learn more about our company, please visit our website at www.eyeboston.com.



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