Medical Billing Specialist

Job Description

Title : Medical Billing Specialist

Location : Bloomington, MN

Job Type : Permanent

Compensation : $24.00 - $32.00/hr

Industry: Ophthalmology
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About the Role
Our client, a growing ophthalmology clinic and surgery center in Bloomington, MN, is seeking an experienced Medical Billing Specialist to join their team. This organization provides specialized eye care and surgical services with a strong focus on delivering a personalized, patient-centered experience.
The Medical Billing Specialist will support the revenue cycle by ensuring medical claims are processed accurately and on time, following up with insurance carriers, posting payments, resolving billing issues, and assisting patients with billing-related questions. The ideal candidate is detail-oriented, organized, collaborative, and committed to providing excellent service. Job Description

• Prepare, review, and submit accurate medical claims to insurance carriers.
• Monitor outstanding claims and follow up on unpaid or denied claims.
• Research and resolve billing discrepancies, denials, and reimbursement issues.
• Process charges, insurance payments, patient payments, and account adjustments accurately and promptly.
• Review insurance eligibility, benefits, and coverage requirements.
• Obtain and manage prior authorizations as required.
• Communicate with insurance carriers, healthcare providers, and patients to facilitate claim resolution.
• Collaborate with scheduling, front desk, clinical, and other internal teams regarding insurance and billing questions.
• Maintain current knowledge of CPT and ICD-10 coding, payer policies, and reimbursement requirements.
• Maintain accurate documentation and support compliance with applicable billing requirements and organizational policies.
• Provide professional and compassionate assistance to patients regarding billing questions and account balances.
• Communicate billing issues, trends, and process improvement opportunities to revenue cycle and financial leadership.
• Support continuous improvement initiatives related to medical billing and revenue cycle processes.
• Perform additional duties as assigned.

Qualifications

Required Qualifications:

• High school diploma or equivalent.
• At least 2 years of medical billing experience.
• Working knowledge of medical insurance billing and claims processing.
• Knowledge of CPT and ICD-10 coding.
• Understanding of insurance benefits, medical policies, and reimbursement processes.
• Strong organizational skills and attention to detail.
• Ability to effectively prioritize responsibilities, manage time, and meet deadlines.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office.
• Ability to maintain patient confidentiality and handle sensitive information appropriately.
• Strong customer service skills and the ability to communicate professionally with patients, insurance carriers, providers, and internal teams.
• Positive, solutions-oriented approach with the ability to work effectively in a collaborative environment.

Preferred Qualifications:

• Experience working in ophthalmology, optometry, or another specialty medical practice.
• Experience with claims denials, appeals, accounts receivable follow-up, and prior authorizations.
• Experience using electronic practice management and medical billing systems.
• Experience with Nextech.
• Demonstrated ability to take initiative, identify solutions, and follow through on responsibilities.
• Ability to adapt to changing processes and contribute to continuous improvement.

Benefits
Our client offers a comprehensive benefits package that includes health insurance with a Health Savings Account (HSA), a 401(k) retirement plan, life insurance, paid time off, employee discounts, and professional development assistance. How to Apply
Take the first step on your new career path!To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we've reviewed your application details, a recruiter will reach out to you with next steps! Equal Opportunity Statement
As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!


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Dahl Consulting is proud to offer a comprehensive benefits package to eligible contract employees that will allow you to choose the best coverage to meet your family's needs. For details, please review our Benefits Summary:


Dahl Consulting is an Equal Opportunity Employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other applicable legally protected characteristics.


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