Ophthalmology Medical Biller & Coder

Job Description Job Description Pay: $20.00 - $25.00 per hour Job description: Mount Pleasant, SC $20–$25 per hour Full-Time | No Weekends Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician-led specialty practice. Experience with Athena Practice Management System is preferred. Responsibilities Insurance & Payer Knowledge Understand insurance policy guidelines including COB, referrals, prior authorizations, and insurance portals Knowledge of Medicare, Medicaid, and commercial payer billing rules and regulations Communicate with insurance companies to resolve claim issues Charge Entry & Coding Accurate charge entry and data entry Apply appropriate ICD-10 and CPT coding guidelines Maintain compliance with current coding initiatives and payer policies Claims Processing Submit electronic and paper claims Review and follow up on denied, incorrect, or unpaid claims Submit corrected claims, reconsiderations, and appeals Accounts & Reporting Work insurance and patient delinquent accounts Monitor aging reports Assist in creating or using daily, weekly, monthly, and annual reports Customer Service & Team Support Answer billing questions from patients, team members, and insurance companies Maintain professional communication with patients and staff Assist with front desk responsibilities or workflow support when needed Qualifications 1+ year ophthalmology or medical billing experience preferred Strong knowledge of CPT, ICD-10, and insurance billing procedures Familiarity with Medicare, Medicaid, and commercial payers Experience using Athena Practice Management System preferred Strong attention to detail and accuracy Excellent communication and organizational skills Reliable transportation Flexible team player willing to assist where needed Compensation $20–$25/hour depending on experience Opportunities for performance-based pay increases and skill development Benefits Monday through Friday schedule No weekends Paid time off (PTO) Paid holidays Simple IRA with 3% employer match Profit sharing opportunities Health, dental, and vision insurance Uniforms provided Free lunches provided in the office Supportive small team environment Schedule Full-time preferred (5 days/week). Location Mount Pleasant, SC Job Type: Full-time Application Question(s): Do you have ophthalmology or optometry billing experience? How many years of medical billing experience do you have? How comfortable are you with CPT and ICD-10 coding? Have you used Athena Practice Management System before? Work Location: In person