Ophthalmic Billing Specialist

1 month 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. The ideal candidate will have a strong understanding of payer policies and procedures, as well as excellent communication and organizational skills.

Key Responsibilities:
  1. Maintain accurate and up-to-date knowledge of payer policies for Retina injectable medications, including policy changes.
  2. Submit urgent PA requests as needed and ensure timely approval.
  3. Register Medicare and Medicare Advantage patients with foundation copay support services.
  4. Order specialty pharmacy medication and communicate related billing procedures to the clinic team.
  5. Manage and review the daily EPIC schedule to ensure 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. 3+ years of medical billing experience.
  3. Strong working knowledge of ICD10 and CPT coding.
  4. Familiarity with medication manufacturers' portals/hubs.

Ophthalmic Consultants of Boston, Inc. offers a competitive benefits package, including a 401(k) and great medical and dental benefits. If you are a motivated and detail-oriented individual with a passion for medical billing, we encourage you to apply.



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