We're looking for a qualified medical biller for our optometry practice in Bergen County.

Qualifications: AA degree desired, High School diploma or GED required with minimum two years experience with Practice Management database applications and medical billing; degree and/or certification in Medical Billing or ability to obtain certification within 18 months; experience in Optometry and/or Ophthalmology billing and Vision Service Plan is a plus. Must be proficient with billing procedures for Medicare, electronic claims submission, HICFA’s, patient and insurance refunds. Ability to work accurately and independently with detailed data; excellent keyboarding, computer operating, and communication skills; medical office experience and knowledge of medical terminology and coding; ability to operate multi-line phones and other common office equipment; able to multi-task while maintaining effective working relationships with patients, public, and staff. Previous collection experience is beneficial.

Responsibilities: Perform a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party records, and resolution of a variety of problems. Follow up on submitted claims and patient billing; resubmit claims and problem resolution. Research and analyze delinquent third party payer claims, determine reimbursement problems, adjust and resubmit claims.

Primary Duties:
1. Process billing to patients and for third party reimbursement claims; maintain supporting documentation files and current patient data
2. Research and analyze third party payer claims such as Medicare, Tricare, Workers’ Compensation, Vision Service Plan, and various commercial insurances
3. Research and prepare billings for initial electronic claims submission
4. Follow up on submitted claims, monitor unpaid claims, initiate tracers, resubmit claims as necessary
5. Research and respond by phone and in writing to patient inquiries regarding billing issues and problems
6. Research and respond by phone or correspondence to inquiries by third party payers; research problems and correct errors
7. Maintain patient demographic information and data collection systems
8. Post and reconcile third party reimbursements
9. Balance daily batches and reports
10. Perform data entry, answer phones, and assist with walk-in inquiries
11. Maintain statistical data and records; prepare regularly scheduled reports and/or special reports on medical claims
12. Monitor delinquent patient accounts and prepare for collection agency
13. Ensure strictest confidentiality following HIPAA guidelines

This is a full time position with benefits.

Please send cover letter and resume with salary requirements.
job-wgxkg-1189639991 @craigslist.org (remove the space)