Job Detail

RCM - Medical Biller Total Vision LLC Mission Viejo, CA 92691 Full-time - Medical Billing & Coding

Date Posted: Dec 13, 2021

Job Description

Full Job Description

Formed in 2018, Total Vision is a team of talented and respected eye care professionals in partnership with a management team that has expertise in leading the operations of optometry practices. Together, we have built a platform that simplifies and streamlines business operations and allows our doctors to continue to deliver outstanding patient care.

Total Vision continues to expand our footprint throughout California by partnering with optometrists that align with our goals and values. Our leaders knew early on that developing strong core values was the key to our success and continued growth. These values are critical to the culture that we continue to build upon:

  • Build Passionate Teams Empowered To Be The Best
  • Embrace Change To Exceed Our Patients Needs
  • Strengthen Relationships With Every Encounter
  • Trust, Integrity, And Inclusion Is How We Lead
We are adding to our Medical Billing team in our Support Center located in Mission Viejo, CA. This position is full-time with great benefits.

Core duties and responsibilities:
  • Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and can independently take appropriate next steps to resolve issues.
  • Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner.
  • Maintains integrity of patient ledgers, following guidelines provided to manage balances.
  • Troubleshoots out-of-balance batches.
  • Researches difficult ERAs/EOBs to avoid posting to unapplied.
  • Researches open accounts receivables, resolves claims errors and reprocesses claims for successful payment.
  • Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation and benefits.
  • Reviews and processes patient statements.
  • Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.
  • Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations.
  • Acts as a liaison and provides excellent customer support to teammates in our optometry practices.
  • Travels to field practices 10% of the time to meet with peers, develop strong rapport, and provide on premise support as needed.
  • Other duties as assigned.
  • Has excellent customer service skills in working with internal and external customers.
  • Presents professionally and communicates clearly both verbally and in written form.
  • Embraces and aims for a paperless work environment wherever possible.
  • Demonstrates ability to solve problems and work as a positive member of a team.
  • Is technology savvy and appreciates finding new ways to make processes easier.
  • Can stay focused on projects and can multi-task when needed.
  • Brings his/her best self to work every day and can contribute positively to a team environment.
Position Requirements:
  • Healthcare payment posting: 1 year (Must)
  • Healthcare billing experience: 1 year (optometry preferred, but not required)
  • Strong typing and data entry skills including 10-key
  • Basic knowledge of Microsoft products including Excel, Word, Outlook and PowerPoint
Additional Desired Experience (not a requirement):
  • CompuLink, Eyefinity PM, Acuity Logic, and Office Mate experience a plus
  • Optical billing, Medicare & Medi-Cal billing experience a plus
  • High School diploma or General Education Degree (GED)
We thank all applicants in advance for their interest in this position, however, only those selected for an interview will be contacted.

Total Vision Care is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.

We thank all applicants in advance for their interest in this position, however, only those selected for an interview will be contacted.
Total Vision LLC

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