Retina Billing Specialist

Billing Specialist - RetinaAddison Group is hiring for our client, a rapidly growing specialty healthcare organization, seeking experienced Billing Specialists to support its expanding revenue cycle operations. Due to continued growth and new practice acquisitions, the organization is adding multiple professionals with a strong background in retina and ophthalmology billing.Although titled Billing Specialist, this position is heavily focused on insurance AR follow-up, denial resolution, and professional claims. Candidates must have hands-on retina billing experience and a solid understanding of injectable drug billing.The Billing Specialist will manage physician insurance claims throughout the revenue cycle, with a primary focus on resolving unpaid and denied accounts. This position requires specialized knowledge of retina billing, J-codes, drug units, modifiers, and reimbursement.The role is entirely insurance-focused and does not involve patient collections or discussions regarding patient payment plans.Qualified candidates should have familiarity with several of the following:Billing for intravitreal injections and specialty ophthalmic medicationsRetina-specific J-codes and appropriate drug unitsDrug reimbursement and buy-and-bill processesBenefits verification for injectable medicationsPrior authorization requirements for retina treatmentsCommon ophthalmology modifiers, including laterality and procedure-related modifiersResolving denials involving injectable medications and physician servicesAddison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.