Oph/rcm Specialist

EyeCare Partners

Lakeland, FL, United States
On-site
Billing software utilization
Payment posting (electronic/manual)
Insurance claim denial management
EyeCare Partners is seeking an on-site Revenue Cycle Management (RCM) Specialist with expertise in medical billing and insurance claims, particularly in ophthalmology. The role involves managing various RCM processes, from billing and coding to patient inquiries and insurance follow-ups

Job Summary

  • The RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices.
  • Prepare, review, and transmit claims, post payments, status unpaid claims, and handle insurance claim denials.
  • This position requires experience with CPT and ICD-10, strong communication skills, and excellent organization and time management.

Matching Summary

Match Score: 85

EyeCare Partners is seeking an on-site Revenue Cycle Management (RCM) Specialist with expertise in medical billing and insurance claims, particularly in ophthalmology. The role involves managing various RCM processes, from billing and coding to patient inquiries and insurance follow-ups.

Skills & Requirements

Must-have

  • Billing software utilization
  • Payment posting (electronic/manual)
  • Insurance claim denial management
  • Explanation of Benefits (EOB) interpretation
  • Coordination of Benefits (COB)

Nice-to-have

  • Customer service focus
  • Positive attitude and flexibility
  • Adherence to company policies

Key Requirements

  • 3+ years of Medical Insurance Billing
  • High School Diploma or GED
  • CPC, RHIT, CCS, or CMC Coding Credentials preferred

Work Rights

Not specified

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